Diagnostische Herausforderungen bei Herzinsuffizienz

Die Herzinsuffizienz ist der häufigste Grund für eine vollstationäre Behandlung in Deutschland. Während die Diagnosestellung bei der Herzinsuffizienz mit reduzierter Ejektionsfraktion („HFrEF“) unstrittig ist, stellt sie bei der Herzinsuffizienz mit erhaltener Ejektionsfraktion („HFpEF“) eine Herausforderung dar. Zwei kürzlich veröffentlichte neue Diagnoseschemata zur HFpEF sollen im Folgenden vorgestellt werden.

Abstract

Heart failure (HF) is the leading cause for inpatient treatment in Germany. Its diagnosis is based on the ESC Guidelines for Diagnosis and Treatment of Heart Failure of 2016. More than half of all patients with HF suffer from HF with preserved ejection fraction (HFpEF), whose diagnosis is still challenging. Two new diagnostic scores have been proposed to facilitate the diagnosis of HFpEF and are presented in this article, the H₂FPEF-Score and the HFA-PEFF-algorithm by the Heart Failure Association.

Schlüsselwörter

Herzinsuffizienz - Diagnostik - natriuretische Peptide - HFpEF - HFA-PEFF

Key words

heart failure - diagnosis - natriuretic peptides - HFpEF - HFA-PEFF

• Literatur

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