The Key Role of Diagnostic Imaging in Early HFpEF

IF 15.2 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

JACC. Cardiovascular imaging Pub Date : 2025-10-01 DOI:10.1016/j.jcmg.2025.05.016

Hidenori Yaku MD, PhD, Sanjiv J. Shah MD

引用次数: 0

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a prevalent, costly, and highly morbid syndrome that affects more than one-half of all patients with heart failure. For patients with HFpEF, it is crucial to identify patients as early as possible in stage C for prompt diagnosis and intervention. However, detecting HFpEF in its early stage can be challenging without suspecting its potential, particularly in cases without overt volume overload or those with elevated left atrial pressure only during exercise (ie, early stage C HFpEF). Consequently, it has become increasingly important to investigate and understand early HFpEF in greater detail, with the overall goal of reducing the burden of overt and advanced stage C HFpEF in the population. The authors provide a comprehensive update on the epidemiology, pathogenesis, diagnostic testing, and management of the early stage of HFpEF, with a particular focus on diagnostic imaging.

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诊断成像在早期HFpEF中的关键作用。

心力衰竭伴保留射血分数（HFpEF）是一种普遍、昂贵且高度病态的综合征，影响了一半以上的心力衰竭患者。对于HFpEF患者，在C期尽早发现患者，及时诊断和干预至关重要。然而，在不怀疑其潜力的情况下，早期检测HFpEF可能具有挑战性，特别是在没有明显容量过载或仅在运动时左房压升高的情况下（即早期C型HFpEF）。因此，更详细地调查和了解早期HFpEF变得越来越重要，其总体目标是减轻人群中显性和晚期C期HFpEF的负担。作者提供了关于HFpEF早期流行病学、发病机制、诊断测试和管理的全面更新，特别侧重于诊断成像。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JACC. Cardiovascular imaging CARDIAC & CARDIOVASCULAR SYSTEMS-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

24.90

自引率

5.70%

发文量

330

审稿时长

4-8 weeks

期刊介绍： JACC: Cardiovascular Imaging, part of the prestigious Journal of the American College of Cardiology (JACC) family, offers readers a comprehensive perspective on all aspects of cardiovascular imaging. This specialist journal covers original clinical research on both non-invasive and invasive imaging techniques, including echocardiography, CT, CMR, nuclear, optical imaging, and cine-angiography. JACC. Cardiovascular imaging highlights advances in basic science and molecular imaging that are expected to significantly impact clinical practice in the next decade. This influence encompasses improvements in diagnostic performance, enhanced understanding of the pathogenetic basis of diseases, and advancements in therapy. In addition to cutting-edge research,the content of JACC: Cardiovascular Imaging emphasizes practical aspects for the practicing cardiologist, including advocacy and practice management.The journal also features state-of-the-art reviews, ensuring a well-rounded and insightful resource for professionals in the field of cardiovascular imaging.