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Senior Talk Gilbert-Roy Kamoga

Case65 y/o lady presents to the ED with acute onset shortness of breath started 6 hours ago. She has history of DM, HTN, DLD. Just prior to this episode she felt like her heart was racing. She is axnious. She denies any previous dyspnea on exertion, lower extremity swelling or abdominal distension. She had been feeling well the day prior.In ED her vitals were 36.5 125 192/100 27 83% on RA. She was in Resp distress, sweaty seated upright. S1, S2 and S4 heard, irregular with no m/g/r and no JVD29931

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Senior Talk Gilbert-Roy Kamoga

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    1. Senior Talk Gilbert-Roy Kamoga

    4. Objectives 1. Definition of HFPEF 2. Describe the Epidemiology 3. Elaborate on Pathophysiology 4. Clinical Features and Diagnosis 5. Management Strategies 6. Take home Message

    5. Definition The diagnosis of Heart failure with Preserved Ejection Fraction is based on the clinical finding of congestive heart failure with the echocardiography findings of preserved left ventricular ejection fraction and the absence of valvular abnormalities. (ACC/AHA guidelines)

    6. Epidemiology

    7. Population based prevalence studies suggest that nearly half the patients with heart failure have HFPEF The proportion of the patients with HFPEF in the various studies ranges from 40-71% (mean 56%). These prevalence studies are compromised by the precise threshold for what is considered to be a normal Left Ventricular Ejection Fraction. One study elaborated that 80% of heart failure patients had an LVEF > 0.45 but only 55% had an LVEF > 0.55

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