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H2FPEF risk score

Indications: - assessment of diastolic heart failure (LV diastolic dysfunction, HFpEF) in patients presenting with dyspnea Procedure: - BMI >= 30 kg/m2 (2 points) - >= 2 medications for hypertension (1 point) - atrial fibrillation, paroxysmal or persistent (3 points) - pulmonary artery systolic pressure > 35 mm Hg (1 point) - age > 60 years (1 point) - elevated diastolic filling pressure, E/e' > 9 (1 point) Interpretation: - score 0-9 - each point doubles risk

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References

  1. Reddy YNV, Carter RE, Obokata M et al. A simple, evidence-based approach to help guide diagnosis of heart failure with preserved ejection fraction. Circulation 2018 Aug 28; 138:861 PMID: 29792299 https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.118.034646