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Diagnosing and Managing HFpEF

You'll be able to work up a patient with suspected HFpEF using validated scoring tools and build a guideline-based treatment plan around comorbidities.

What this track covers

Heart failure with preserved ejection fraction is a heterogeneous syndrome driven by diastolic dysfunction, ventricular-arterial stiffening, and systemic inflammation, and it frequently overlaps with obesity, hypertension, diabetes, and atrial fibrillation. This track covers structured diagnosis using H2FPEF and HFA-PEFF frameworks, phenotype recognition, and current pharmacotherapy and comorbidity management strategies.

What you will practice

  • Apply H2FPEF and HFA-PEFF scoring to a patient with exertional dyspnea and normal EF
  • Differentiate HFpEF phenotypes: obesity-related, aging-related, AF-related, and infiltrative cardiomyopathy
  • Sequence pharmacotherapy including SGLT2 inhibitors, MRAs, diuretics, and ARNi
  • Interpret echo and biomarker data alongside invasive hemodynamics when the diagnosis is uncertain
  • Coordinate comorbidity management for obesity, hypertension, diabetes, and AFib in the same care plan

Simulator scenario

A timed case of an older patient with obesity, atrial fibrillation, and exertional dyspnea who requires diagnostic workup and a phased treatment plan for suspected HFpEF.

Board question topics

  • H2FPEF and HFA-PEFF score interpretation
  • Echocardiographic and biomarker criteria for HFpEF
  • First-line and add-on pharmacotherapy choices
  • Phenotype-specific comorbidity management

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