Personalized Management for Heart Failure with Preserved Ejection Fraction

Author:

Lin Chang-Yi1,Sung Heng-You1ORCID,Chen Ying-Ju2,Yeh Hung-I.13,Hou Charles Jia-Yin3ORCID,Tsai Cheng-Ting14,Hung Chung-Lieh15ORCID

Affiliation:

1. Division of Cardiology, Department of Internal Medicine, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Road, Taipei 10449, Taiwan

2. Telemedicine Center, MacKay Memorial Hospital, Taipei 10449, Taiwan

3. Departments of Internal Medicine, Mackay Medical College, New Taipei City 25245, Taiwan

4. Mackay Junior College of Medicine, Nursing and Management, New Taipei City 25245, Taiwan

5. Institute of Biomedical Sciences, Mackay Medical College, New Taipei City 25245, Taiwan

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a heterogeneous clinical syndrome with multiple underlying mechanisms and comorbidities that leads to a variety of clinical phenotypes. The identification and characterization of these phenotypes are essential for better understanding the precise pathophysiology of HFpEF, identifying appropriate treatment strategies, and improving patient outcomes. Despite accumulating data showing the potentiality of artificial intelligence (AI)-based phenotyping using clinical, biomarker, and imaging information from multiple dimensions in HFpEF management, contemporary guidelines and consensus do not incorporate these in daily practice. In the future, further studies are required to authenticate and substantiate these findings in order to establish a more standardized approach for clinical implementation.

Funder

National Science Council

Ministry of Science and Technology

MacKay Memorial Hospital

MacKay Medical College

Publisher

MDPI AG

Subject

Medicine (miscellaneous)

Reference54 articles.

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4. Defining diastolic heart failure: A call for standardized diagnostic criteria;Vasan;Circulation,2012

5. A simple, evidence-based approach to help guide diagnosis of heart failure with preserved ejection fraction;Reddy;Circulation,2018

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