Skip to main content

Table 1 Current diagnostic criteria for HF-PEF

From: The Alberta Heart Failure Etiology and Analysis Research Team (HEART) study

Definition

ESC [12, 14]

Vasan et al. [15]

Zile et al. [16, 19]

Signs or symptoms?

Symptoms and signs of HF

Symptoms and signs, supporting laboratory tests and a typical clinical response to treatment#

Symptoms and signs of HF (by Framingham criteria)

Ejection fraction

LVEF > 50% and LVEDVI < 97 mls/m2

LVEF ≥ 50% within 72 hours of HF event**

LVEF > 50%

Echo/Cath/Biomarker evidence of diastolic dysfunction?

Yes

Yes***

Not required

Abnormal LV relaxation, filling, distensibility indices on cardiac catheterization

  1. #with diuretics, with or without documentation of elevated LV filling pressure (at rest, on exercise, or in response to a volume load) or a low cardiac index; **downgraded to “Probable” if EF not defined in first 72 hours; ***downgraded to “Possible” if no Echo or Cath evidence; ESC, European Society of Cardiology.