

#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.
AI Snips
Chapters
Books
Transcript
Episode notes
Checklists for Patient Care
- Create checklists for patient care to avoid letting things fall through the cracks.
- Prioritize writing things down to ensure thoroughness.
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.
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.