Current Cardiovascular Imaging Reports

, Volume 6, Issue 6, pp 523–533 | Cite as

Role of Echocardiography in the Diagnosis of Heart Failure with Preserved Left Ventricular Systolic Function: Update 2013

  • Mohammad Kavianipour
  • Amir Farkhooy
  • Frank A. Flachskampf
Echocardiography (T Buck, Section Editor)


Heart failure and its complications are significant causes of mortality and morbidity in most societies. Major parts of the studies that constitute the base of modern treatment of heart failure have been limited to the study of heart failure associated with reduced left ventricular ejection fraction (HFrEF). Only during the past 10–15 years, heart failure associated with preserved left ventricular ejection fraction (HFpEF) or primarily right-sided heart failure have come more into focus as our understanding of the critical role of other etiologies for the clinical syndrome of heart failure than a reduced left ventricular (LV) ejection fraction has increased. Furthermore, whilst the powerful prognostic role of a reduced LV ejection fraction has long since been well validated, only relatively recently it was realized that patients with heart failure symptoms and preserved LV ejection fraction also have a substantially impaired prognosis. Previously, these patients had often been dismissed as not having "real heart failure". In parallel, it has become clear that diagnoses like hypertensive heart disease, diabetic cardiomyopathy and heart failure associated with atrial fibrillation, among others, can be understood as forms of HFpEF.


Heart failure with preserved ejection fraction Diastolic function Echocardiography Stress testing 


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Mohammad Kavianipour
    • 1
  • Amir Farkhooy
    • 2
  • Frank A. Flachskampf
    • 1
    • 2
    • 3
  1. 1.Department of Medical Sciences: CardiologyUppsala UniversityUppsalaSweden
  2. 2.Department of Medical Sciences: Clinical PhysiologyUppsala UniversityUppsalaSweden
  3. 3.Dept of CardiologyUppsala University HospitalUppsalaSweden

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