{"title":"Heart Failure with Preserved Ejection Fraction.","authors":"Elizabeth Matthews","doi":"10.1097/AJN.0000000000000184","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Heart failure with preserved ejection fraction (HFpEF) is a multifaceted cardiovascular syndrome of symptomatic heart failure in which the left ventricular EF is normal (> 50%). The prevalence of HFpEF is rising and now accounts for approximately half of all heart failure cases worldwide, affecting an estimated 32 million individuals. Progression of HFpEF is associated with declining quality of life and increased risks of hospital admission and cardiovascular events. Despite the growing burden of HFpEF, it remains difficult to diagnose and manage effectively. Nurses and NPs play critical roles in identifying, educating, and treating patients with this clinical syndrome. This article aims to synthesize insights into the pathophysiology of HFpEF, as well as the current standards and requisite diagnostic studies to aid in diagnosis. Current evidence and expert consensus regarding HFpEF treatment are also presented.</p>","PeriodicalId":7622,"journal":{"name":"American Journal of Nursing","volume":"125 11","pages":"28-32"},"PeriodicalIF":2.0000,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/AJN.0000000000000184","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/10/23 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Heart failure with preserved ejection fraction (HFpEF) is a multifaceted cardiovascular syndrome of symptomatic heart failure in which the left ventricular EF is normal (> 50%). The prevalence of HFpEF is rising and now accounts for approximately half of all heart failure cases worldwide, affecting an estimated 32 million individuals. Progression of HFpEF is associated with declining quality of life and increased risks of hospital admission and cardiovascular events. Despite the growing burden of HFpEF, it remains difficult to diagnose and manage effectively. Nurses and NPs play critical roles in identifying, educating, and treating patients with this clinical syndrome. This article aims to synthesize insights into the pathophysiology of HFpEF, as well as the current standards and requisite diagnostic studies to aid in diagnosis. Current evidence and expert consensus regarding HFpEF treatment are also presented.
期刊介绍:
The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer reviewed and evidence-based, it is considered the profession’s premier journal. AJN adheres to journalistic standards that require transparency of real and potential conflicts of interests that authors,editors and reviewers may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE; www.icmje.org), the World Association of Medical Editors (WAME; www.wame.org), and the Committee on Publication Ethics (COPE; http://publicationethics.org/).
AJN welcomes submissions of evidence-based clinical application papers and descriptions of best clinical practices, original research and QI reports, case studies, narratives, commentaries, and other manuscripts on a variety of clinical and professional topics. The journal also welcomes submissions for its various departments and columns, including artwork and poetry that is relevant to nursing or health care. Guidelines on writing for specific departments—Art of Nursing, Viewpoint, Policy and Politics, and Reflections—are available at http://AJN.edmgr.com.
AJN''s mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.