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Diagnosis of heart failure: the new classification of heart failure


Authors: Barbora Nussbaumerová;  Hana Rosolová
Authors‘ workplace: Centrum preventivní kardiologie II. interní kliniky LF UK a FN Plzeň
Published in: Vnitř Lék 2018; 64(9): 847-851
Category: Reviews

Overview

Heart failure (HF) is a clinical syndrome characterized by typical symptoms (e.g. breathlessness, ankle swelling and fatigue) that may be accompanied by signs (e.g. elevated jugular venous pressure, pulmonary crackles and periphe­ral oedema) caused by a structural and/or functional cardiac abnormality, resulting in a reduced cardiac output and/or elevated intracardiac pressures at rest or during stress. Natriuretic peptides have a significant nega­tive predictive value for excluding of heart failure. Echocardiography is the most important imaging method in heart failure. The new classification distinguishes HF by left ventricule ejection fraction (LV EF) into 3 groups: HF with preserved EF – HFpEF with LV EF ≥ 50 %, mid-range EF – HFmrEF with LV EF 40–49 % and HF with reduced EF – HFrEF with LV EF < 40 %. A quantity of examination methods is available in heart failure diagnosis and treatment.

Key words:

classification – diagnosis – echocardiography – heart failure – natriuretic peptides


Sources

1. Špinar J, Hradec J, Špinarová L et al. Summary of the 2016 ESC Guidelines on the diagnosis and treatment of acute and chronic heart failure. Prepared by the Czech Society of Cardiology. Cor Vasa 2016; 58(5): e530-e568. Dostupné z DOI: .

2. Ponikowski PA, Voors A, Anker SD et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016; 37(27): 2129–2200. Dostupné z DOI: . Erratum in Erratum. [Eur Heart J. 2018].

Labels
Diabetology Endocrinology Internal medicine
Topics Journals
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