Discover and read the best of Twitter Threads about #HFupdate20
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#HFpEF was a hot topic this morning at @CanHFSociety #HFupdate20! Dr. @KSharmaMD of @HopkinsMedicine spoke on the process of making a correct HFpEF diagnosis - something which most internists and even cardiologists struggle with according to data which was shared. 1/6 
In the "real world" @KSharmaMD makes her diagnosis by identifying patients with a clinical heart failure syndrome, LVEF > 50% and objective evidence of cardiac disease (⬆️BNP, LVH, diastolic dysfunction, PCWP or LVEDP > 15). Dr. Sharma also alerted us to be mindful of the 2/6
presence of "exercise-induced HFpEF" - a phenotype with normal or mildly abnormal filling pressures at rest (i.e. LVEDP, PCWP, mPAP), but severe elevation of such pressures with activity. Her gold standard is a level three stress test, which is a 3/6
