Interpretation of 2019 How to Diagnose Heart Failure with Preserved Ejection Fraction from the Heart Failure Association of the European Society of Cardiology [2019年欧洲心力衰竭协会/欧洲心脏病学会《射血分数保留的心力衰竭的诊断》解读]

作者：Xu D.^*; Zhang H.

来源：中国全科医学, 2020, 23(11): 1327-1332.

DOI：10.12114/j.issn.1007-9572.2020.00.155

• Community management
• Comorbidity
• Diagnose
• Heart failure
• Heart failure with preserved ejection fraction

Currently,heart failure with preserved ejection fraction (HFpEF) accounts for more than 50% of HF cases,but there is lack of available effective drug therapy to improve the prognosis.In 2019,the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) developed a new consensus recommendation,4-step HFA-PEFF diagnostic algorithm:the first step is ＂pre-test assessment＂,and the second step is ＂echocardiographic and natriuretic peptide heart failure with preserved ejection fraction diagnostic score＂,the third step ＂functional testing＂,the fourth step ＂final aetiology＂.In this paper,not only the four-step diagnosis method is introduced in detail,but the comorbidity of HFpEF and community-based management of HF is also discussed.

• 单位
  南方医科大学