Evidence map›Paper›PMID 37861854›Full record

SynthesisHeart failure reviews2024

Diagnosis of heart failure with preserved ejection fraction: a systematic narrative review of the evidence.

Francesc Formiga, Julio Nuñez, María José Castillo Moraga, Marta Cobo Marcos, María Isabel Egocheaga, Concha F García-Prieto, Angel Trueba-Sáiz, Arantxa Matalí Gilarranz, José María Fernández Rodriguez

Erratum issuedAbstract readSystematic Review
In one paragraph

Synthesis in Heart failure reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Heart Failure with Preserved Ejection Fraction: Challenges and Current Approaches.Research in heart yield and translational medicine · 2026
    Review
  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Francesc FormigaServicio de Medicina Interna, Hospital Universitari de Bellvitge, Barcelona, Spain. fformiga@bellvitgehospital.cat.ORCID 0000-0002-3587-298X
Julio NuñezServicio de Cardiología, Hospital Clínico Universitario de Valencia-España, Valencia, Spain.
María José Castillo MoragaMedicina Familiar y Comunitaria, Centro de Salud Barrio Bajo, Sanlúcar de Barrameda, Cádiz, Spain.
Marta Cobo MarcosServicio de Cardiología, Hospital Universitario Puerta de Hierro Majadahonda (IDIPHISA), Madrid, Spain.
María Isabel EgocheagaMedicina Familiar y Comunitaria, Centro de Salud Isla de Oza, Madrid, Spain.
Concha F García-PrietoMedical Affairs Department, Eli Lilly and Company España, Alcobendas, Madrid, Spain.
Angel Trueba-SáizMedical Affairs Department, Eli Lilly and Company España, Alcobendas, Madrid, Spain.
Arantxa Matalí GilarranzMedical Affairs Department, Boehringer Ingelheim, Sant Cugat del Vallés, Barcelona, Spain.
José María Fernández RodriguezÁrea Cardiorrenometabólica del Servicio de Medicina Interna del Hospital Universitario Ramon y Cajal, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure (HF) with preserved ejection fraction (HFpEF) is a common condition in clinical practice, affecting more than half of patients with HF. HFpEF is associated with morbidity and mortality and with considerable healthcare resource utilization and costs. Therefore, early diagnosis is crucial to facilitate prompt management, particularly initiation of sodium-glucose co-transporter 2 inhibitors. Although European guidelines define HFpEF as the presence of symptoms with or without signs of HF, left ventricular EF ≥ 50%, and objective evidence of cardiac structural and/or functional abnormalities, together with elevated natriuretic peptide levels, the diagnosis of HFpEF remains challenging. First, there is no clear consensus on how HFpEF should be defined. Furthermore, diagnostic tools, such as natriuretic peptide levels and resting echocardiogram findings, are significantly limited in the diagnosis of HFpEF. As a result, some patients are overdiagnosed (i.e., elderly people with comorbidities that mimic HF), although in other cases, HFpEF is overlooked. In this manuscript, we perform a systematic narrative review of the diagnostic approach to patients with HFpEF. We also propose a comprehensible algorithm that can be easily applied in daily clinical practice and could prove useful for confirming or ruling out a diagnosis of HFpEF.

Indexed as

Heart FailureAgedComorbidityEchocardiographyHumansNatriuretic PeptidesStroke VolumeVentricular Function, LeftNatriuretic PeptidesAlgorithmDiagnosisDiastolic functionHeart failureHeart failure with preserved ejection fraction

Identifiers

PMID37861854
PMCPMC10904432

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.