Core IM | Internal Medicine Podcast #153 HFpEF: 5 Pearls Segment
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Jun 5, 2024 Explore the complexities of HFpEF: causes, diastolic dysfunction, BNP levels, scoring systems, and treatment options. Learn about the challenges in diagnosis, risk scores, alternative maneuvers, and comprehensive management strategies. Delve into the nuances of HFpEF management with medications, gender differences, and research updates.
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HFpEF: A Systemic Disorder
- HFpEF is a systemic disorder, not primarily a cardiac one.
- Cardiometabolic risk factors activate inflammation, impacting the heart's structure and function.
Risk Factors: Age and Gender
- Older age increases the risk of HFpEF due to immune system changes and inflammation.
- Women are disproportionately affected, potentially due to factors like preeclampsia.
Echo Findings in HFpEF
- Diastolic dysfunction, an abnormality in heart relaxation, does not automatically equal HFpEF.
- Up to one-third of HFpEF patients may have normal resting echocardiograms.