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Right heart dysfunction and failure in heart failure with preserved ejection fraction: mechanisms and management. Position statement on behalf of the Heart Failure Association of the European Society of Cardiology
Author(s) -
Gorter Thomas M.,
van Veldhuisen Dirk J.,
Bauersachs Johann,
Borlaug Barry A.,
Celutkiene Jelena,
Coats Andrew J.S.,
CrespoLeiro Marisa G.,
Guazzi Marco,
Harjola VeliPekka,
Heymans Stephane,
Hill Loreena,
Lainscak Mitja,
Lam Carolyn S.P.,
Lund Lars H.,
Lyon Alexander R.,
Mebazaa Alexandre,
Mueller Christian,
Paulus Walter J.,
Pieske Burkert,
Piepoli Massimo F.,
Ruschitzka Frank,
Rutten Frans H.,
Seferovic Petar M.,
Solomon Scott D.,
Shah Sanjiv J.,
Triposkiadis Filippos,
Wachter Rolf,
Tschöpe Carsten,
de Boer Rudolf A.
Publication year - 2018
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1002/ejhf.1029
Subject(s) - medicine , heart failure , heart failure with preserved ejection fraction , cardiology , ejection fraction , position paper , management of heart failure , intensive care medicine , pathology
There is an unmet need for effective treatment strategies to reduce morbidity and mortality in patients with heart failure with preserved ejection fraction (HFpEF). Until recently, attention in patients with HFpEF was almost exclusively focused on the left side. However, it is now increasingly recognized that right heart dysfunction is common and contributes importantly to poor prognosis in HFpEF. More insights into the development of right heart dysfunction in HFpEF may aid to our knowledge about this complex disease and may eventually lead to better treatments to improve outcomes in these patients. In this position paper from the Heart Failure Association of the European Society of Cardiology, the Committee on Heart Failure with Preserved Ejection Fraction reviews the prevalence, diagnosis, and pathophysiology of right heart dysfunction and failure in patients with HFpEF. Finally, potential treatment strategies, important knowledge gaps and future directions regarding the right side in HFpEF are discussed.