Prognosis of Heart Failure with Preserved Ejection Fraction in Primary Care by the H2FPEF Score

• Published in: International journal of cardiovascular sciences 2020-12, Vol.33 (6), p.666-672
• Main Authors: Jorge, Antonio Jose Lagoeiro, Rosa, Maria Luiza Garcia, Martins, Wolney de Andrade, Leite, Adson, Correia, Dayse Mary da Silva, Saad, Maria Auxiliadora Nogueira, Villacorta, Humberto, Chermont, Sergio, Gismondi, Ronaldo Altenburg, Almeida, Breno Macedo, Mesquita, Evandro Tinoco
• Format: Article
• Language: English
• Subjects: CARDIAC & CARDIOVASCULAR SYSTEMS
• ISSN: 2359-4802; 2359-5647; 2359-5647
• DOI: 10.36660/ijcs.20200076

Abstract Background: Primary care physicians have difficulty dealing with patients who have HF with preserved LVEF(HFpEF). The prognosis of HFpEF is poor, and difficult to predict on primary care. Objective: The aim of the study is to apply the H2FPEF score to primary care patients and verify its power to assess the risk of death or hospitalization due to cardiovascular disease. Methods: This longitudinal study included 402 individuals, with signs or symptoms of HF, aged≥45 years and, underwent an evaluation which included clinical examination, BNP and echocardiogram. The diagnosis of HFpEF was confirmed by the criteria of the European Society of Cardiology. After five years, the patients were reassessed as to the occurrence of the composite outcome, death from any cause or hospitalization for cardiovascular disease. H2FPEF used six variables: body mass index, medications for hypertension, age, pulmonary artery systolic pressure, atrial fibrillation and E/e' ratio ranged from 0 to 9 points. The level of statistical significance was p