title: Imaging in heart failure with preserved ejection fraction.
abstract: Heart failure (HF) with preserved ejection fraction (HFpEF) is becoming the predominant form of HF. Understanding cardiac structure and function in this syndrome is highly relevant for diagnosis, prognosis, pathophysiology, and management. However, identifying cardiac dysfunction in HFpEF can be challenging and requires an integrated assessment of cardiac structure, systolic and diastolic function, and hemodynamics. Comprehensive transthoracic echocardiography is the noninvasive imaging test of choice for evaluating patients with HF. Importantly, cardiac dysfunction may not be present at rest in HFpEF but may be unmasked with exercise or pharmacologic stress testing. Imaging in HFpEF is reviewed.
authors: Vanderbilt Heart and Vascular Institute, Department of Medicine, Vanderbilt University Medical Center, 2525 West End Ave, Suite 300, Nashville, TN 37203, USA.
authors: Deepak K
authors: DK
authors: Gupta
authors: Division of Cardiology, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. Electronic address: ssolomon@rics.bwh.harvard.edu.
authors: Scott D
authors: SD
authors: Solomon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography / Q000379:methods; D057791:Cardiac Imaging Techniques / Q000379:methods*; D002986:Clinical Trials as Topic; D015331:Cohort Studies; D004452:Echocardiography / Q000379:methods; D018618:Echocardiography, Doppler, Color / Q000379:methods; D025401:Echocardiography, Stress / Q000379:methods; D005260:Female; D054144:Heart Failure, Diastolic / Q000175:diagnosis / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012016:Reference Values; D012680:Sensitivity and Specificity; D013318:Stroke Volume / Q000502:physiology*; D013577:Syndrome
keywords: Diastolic dysfunction; Echocardiography; Left ventricular ejection fraction; Myocardial deformation; Stress testing