Heart failure classification by LVEF
Cardiology
Also known as: Herzinsuffizienz-Einteilung nach Ejektionsfraktion (HFrEF, HFmrEF, HFpEF) · Ejeksiyon fraksiyonuna göre kalp yetmezliği sınıflaması · Heart failure categories by ejection fraction (HFrEF, HFmrEF, HFpEF)
What it is for
Heart failure (HF) categories by left ventricular ejection fraction (LVEF), as used by the 2021 European Society of Cardiology (ESC) HF guideline and the 2021 Universal Definition of HF. All categories require symptoms and/or signs of HF; the Universal Definition describes HF as a clinical syndrome caused by a structural and/or functional cardiac abnormality and corroborated by raised natriuretic peptides and/or objective evidence of pulmonary or systemic congestion.
Classification
| Category | Description |
|---|---|
| HFrEF (reduced ejection fraction) | LVEF 40% or less. |
| HFmrEF (mildly reduced ejection fraction) | LVEF 41-49%. |
| HFpEF (preserved ejection fraction) | LVEF 50% or more, plus objective evidence of cardiac structural and/or functional abnormalities consistent with left ventricular diastolic dysfunction or raised filling pressures, including raised natriuretic peptides. |
| HFimpEF (improved ejection fraction, Universal Definition) | baseline LVEF 40% or less, a rise of at least 10 percentage points from baseline, and a second LVEF measurement above 40%. |
Source
2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure
ESC · Eur Heart J 2021;42:3599-3726 (McDonagh TA et al.)
DOI: 10.1093/eurheartj/ehab368
PMID: 34447992
- Edition
- ESC 2021 heart failure guideline; 2021 Universal Definition and Classification of Heart Failure (HFSA/HFA/JHFS)
- Checked on
Summary of the published classification in our own words. Not a substitute for the original publication.
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