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Current challenges for the diagnosis of HFpEF and possible simplification of the diagnostic approach

Title: Current challenges for the diagnosis of HFpEF and possible simplification of the diagnostic approach
Authors: Bernardi M.; Golino M.; Spadafora L.; Sarto G.; Forte M.; Simeone B.; Rocco E.; Valenti V.; Schiavon S.; Esposito A.; Di Florio E.; Scalia L.; Lo Sasso L.; Frati G.; Zoccai G. B.; Versaci F.; Sciarretta S.
Contributors: Bernardi, M.; Golino, M.; Spadafora, L.; Sarto, G.; Forte, M.; Simeone, B.; Rocco, E.; Valenti, V.; Schiavon, S.; Esposito, A.; Di Florio, E.; Scalia, L.; Lo Sasso, L.; Frati, G.; Zoccai, G. B.; Versaci, F.; Sciarretta, S.
Publisher Information: Lippincott Williams and Wilkins
Publication Year: 2025
Subject Terms: Diagnostic Algorithm; Heart Failure with Preserved Ejection Fraction; HFpEF; SGLT2 Inhibitors
Description: Heart failure with preserved ejection fraction (HFpEF) is a prevalent and multifaceted clinical syndrome, often underdiagnosed due to its heterogeneous presentation and overlapping comorbidities. Recent randomized trials have demonstrated the efficacy of sodium-glucose co-transporter 2 (SGLT2) inhibitors in reducing heart failure hospitalizations and cardiovascular mortality. In this review, we analyze the main challenges of HFpEF diagnosis and discuss current diagnostic algorithms. Based on recent evidence and recommendations, we propose a possible way to simplify and accelerate the diagnostic process of HFpEF, to support an early initiation of disease-modifying therapies. An interactive web-based version of the proposed algorithm is available at www.hfpefdiagnosis.com for research or exploratory purposes.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/40932013; info:eu-repo/semantics/altIdentifier/wos/WOS:001631982500001; numberofpages:13; journal:JOURNAL OF CARDIOVASCULAR PHARMACOLOGY; https://hdl.handle.net/20.500.11768/194996; https://journals.lww.com/cardiovascularpharm/abstract/2025/12000/current_challenges_for_the_diagnosis_of_hfpef_and.5.aspx
DOI: 10.1097/FJC.0000000000001755
Availability: https://hdl.handle.net/20.500.11768/194996; https://doi.org/10.1097/FJC.0000000000001755; https://journals.lww.com/cardiovascularpharm/abstract/2025/12000/current_challenges_for_the_diagnosis_of_hfpef_and.5.aspx
Rights: info:eu-repo/semantics/closedAccess ; license:Tutti i diritti riservati ; license uri:iris.PRI02
Accession Number: edsbas.8EA8CCE4
Database: BASE