Advances in Hfpef Management (Ahm) (Ckm Navigation) a Textbook of Cardiology

HFpEF, or Heart Failure with preserved ejection fraction, is a type of heart failure where the heart's main pumping chamber (the left ventricle) becomes too stiff to fill properly with blood, even though it can still contract normally. This leads to symptoms like breathlessness, fatigue, and swelling due to blood and fluid backing up in the lungs and body. HFpEF is often associated with other conditions such as high blood pressure, diabetes, obesity, and heart disease, and treatment focuses on managing these underlying factors and relieving symptoms.

Based on the experience of more than 300 contributors, this book is a comprehensive guide to the diagnosis and management of HFpEF, explaining advances in clinical approach, imaging including echocardiography, and multimodality imaging; and drug, mechanical and surgical interventions.

Comprising 21 sections and169 chapters, as many as 28 chapters in this book deal with echocardiography and HFpEF. Assessment of HFpEF using echocardiographic techniques such as three-dimensional echocardiography and more recent advances such as speckle tracking of echocardiography for assessment of left ventricular, left atrial, right ventricular, and right atrial strain, are covered in depth.

Discussion on echocardiographic ventricular and atrial remodeling reversal with various therapeutic agents, including sodium‐glucose cotransporter‐2 (SGLT2) inhibitors, angiotensin receptor–neprilysin inhibitor (ARNI), and bisoprolol, is included.

Exercise-induced left atrial hypertension in HFpEF and the effect of various therapeutic agents on left atrial stiffness index, left atrial function, and other left ventricular diastolic parameters are also examined.