A Simple, Evidence-Based Approach to Help Guide Diagnosis of Heart Failure With Preserved Ejection Fraction
Overview
Paper Summary
This single-center retrospective study developed and validated the H2FPEF score, a tool using clinical and echocardiographic data to estimate the probability of heart failure with preserved ejection fraction (HFpEF) in patients with unexplained dyspnea. The H2FPEF score showed good discrimination of HFpEF from other causes of dyspnea in both the derivation and validation cohorts.
Explain Like I'm Five
Doctors made a new scoring system to help figure out if people with shortness of breath have a specific type of heart problem. The score uses information from regular checkups and heart ultrasounds.
Possible Conflicts of Interest
None identified
Identified Limitations
Rating Explanation
This study presents a well-designed and executed approach to address the challenging diagnosis of HFpEF in patients with unexplained dyspnea. The development and validation of the H2FPEF score provide a practical tool with good discriminatory ability. However, the single-center, retrospective design, and lack of external validation warrant a slightly lower rating until further validation is performed.
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