Evaluation the value of H₂FPEF score and HFA-PEFF step E score in the diagnosis of heart failure with preserved ejection fraction

Abstract

Background

Clinical diagnosis of heart failure with preserved ejection fraction (HFpEF) remains challenging. The aim of the study is to evaluate the value of the H₂FPEF score and HFA-PEFF step E score in the diagnosis of HFpEF.

Methods

319 hospitalised patients with ‘shortness of breath’ or ‘dyspnoea’ were retrospectively collected and scored with the above two scores, respectively. They were divided into HFpEF group and non-HFpEF group in the study.

Results

Both the negative and positive predictive value of H₂FPEF score and HFA-PEFF Step E score were 95.52%, 96.83% and 98.28%, 93.63%, respectively. However, there were 189 (59.25%) and 104 (32.60%) cases could not be diagnosed or excluded in the H₂FPEF score and the HFA-PEFF step E score, respectively.

Conclusions

Both scores of the H₂FPEF and the HFA-PEFF step E may be used to effectively rule out or confirm HFpEF according to the score point. However, there are three fifths and one third patients in the H₂FPEF score and the HFA-PEFF step E score, respectively, in the intermediate scores who are needed further invasive catheterisation or exercise stress tests.

Keywords:

• Heart failure
• heart failure with preserved ejection fraction
• H₂FPEF
• HFA-PEFF
• diagnosis
• diagnostic criteria

Disclosure statement

No potential conflict of interest was reported by the author(s).