HFPEF

HFPEF, Diastolic Dysfunction

Etiology of Heart Failure with Preserved Ejection Fraction (formerly known as Diastolic dysfunction):

• • Epicardial ischemia - UA, MI

  • Hypertrophic states - HTN, LVH, AS, IHSS

  • CM - HCM, DCM

  • Decreased diastolic filling - AF, Sinus tachycardia

  • Severe MS

  • Aging

  • Hypothyroidism

  • Increased passive stiffness

  • amyloidosis

  • hemochromatosis

  • Post MI - endomyocardial fibrotic scarring, aneurysm

  • Pericardial constriction

  • Pericardial tamponade

  • Right ventricular overload

  • Fibroelastosis

  • Compression by tumor

  • Beta blockers.

Diuretics and nitrates must be used w/ caution.