H2FPEF score
H2FPEF score
H2FPEF score is a simple scoring system using clinical characteristics and echocardiography for differentiation of heart failure with preserved ejection fraction (HFpEF) from noncardiac causes of dyspnea [1]. H2FPEF score was developed by Reddy YNV et al using a derivation cohort of 414 consecutive patients comprising of 267 cases with HFpEF and 147 controls. The test cohort included 100 consecutive patients of which 61 had HFpEF. It was a retrospective study in consecutive patients with unexplained dyspnea referred for invasive hemodynamic exercise testing.
The variables used and their weighted scores were as follows:
H2 Heavy: Body mass index > 30 Kg/m2: 2 points
Hypertensive: 2 or more antihypertensive medications: 1 point
F Atrial Fibrillation: Paroxysmal or Persistent: 3 points
P Pulmonary hypertension: Pulmonary artery systolic pressure estimated by Doppler echocardiography > 35 mm Hg: 1 point
E Elder: Age > 60 years: 1 point
F Filling Pressure: Doppler Echocardiographic E/e’ > 9: 1 point
Total score possible would range from 0 – 9 points. The odds of HFpEF doubled for each 1 unit increase in H2FPEF score.
The authors suggested that low H2FPEF scores of 0 or 1 can be used to effectively rule out the disease, while scores of 6-9 can be used to make a diagnosis of HFpEF with good confidence. Intermediate scores of 2-5 would call for additional testing [1].
Suzuki S et al did an external validation o...
Source: Cardiophile MD - Category: Cardiology Authors: Prof. Dr. Johnson Francis Tags: Cardiology Source Type: blogs
More News: Atrial Fibrillation | Cardiology | Cardiovascular | Eating Disorders & Weight Management | Heart | Heart Failure | Hypertension | Japan Health | Obesity | Pulmonary Hypertension | Sports Medicine | Study