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H2FPEF Score for Diagnosis of Heart Failure with Preserved Ejection Fraction (HFpEF)
Jan 19, 2025
•
Mark Morgan
categories:
Cardiovascular
H2FPEF Score - Informal estimation of heart failure with preserved ejection fraction (HFpEF)
BMI greater than or equal to 30 kg/m^2 (2 points)
Hypertensive or treated with 2 or more anti-hypertensive medications (1 point)
Paroxysmal or persistent atrial fibrillation (3 points)
Pulmonary artery systolic pressure more than 35 mmHg by echocardiography (1 point)
Age greater than 60 years (1 point)
E/e′ greater than 9 by echocardiogram (1 point)
score
score=(factors)
out of 9 points
interpretation
score=(factors);score>5?'HFpEF highly likely; further testing not required':score>0?'HFpEF low to intermediate likelihood; further testing is recommended':'HFpEF unlikely; pursue other causes of heart failure symptoms'
display/hide references
reference:
#1
Reddy YNV, Carter RE, Obokata M, Redfield MM, Borlaug BA. A Simple, Evidence-Based Approach to Help Guide Diagnosis of Heart Failure With Preserved Ejection Fraction. Circulation. 2018 Aug 28;138(9):861-870.
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