The Curbsiders Internal Medicine Podcast

#460 HFpEF: Heart Failure with Preserved Ejection Fraction

99 snips
Nov 4, 2024
Dr. Michelle Kittleson, a heart failure expert and professor at Cedars-Sinai, discusses the complexities of heart failure with preserved ejection fraction (HFpEF). She breaks down the challenges of diagnosing this condition and introduces the H2F-PEF score for assessment. The conversation covers managing comorbidities, the positive impact of weight loss and exercise, and highlights promising results from GLP-1 receptor agonists. Kittleson emphasizes the importance of recognizing unique patient needs and adjusting treatment strategies accordingly.
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ADVICE

Checklists for Patient Care

  • Create checklists for patient care to avoid letting things fall through the cracks.
  • Prioritize writing things down to ensure thoroughness.
INSIGHT

HFpEF Diagnosis Challenges

  • HFpEF diagnosis is challenging, lacking a definitive marker like reduced ejection fraction in HFrEF. Consider dyspnea and edema’s root causes, spanning cardiac, pulmonary, or systemic issues.
ADVICE

H2FPEF Score and Amyloidosis

  • Utilize the H2FPEF score to assess HFpEF probability, considering factors like BMI, hypertension, and atrial fibrillation. Don't solely rely on it; consider the patient's full history and rule out amyloidosis.
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