» Articles » PMID: 25320018

Management of Pulmonary Hypertension Due to Heart Failure with Preserved Ejection Fraction

Overview
Date 2014 Oct 17
PMID 25320018
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Heart failure with preserved ejection fraction (HFpEF) is a major cause of HF-related morbidity and mortality, with no medical therapy proven to modify the underlying disease process and result in improvements in survival. With long-standing pulmonary venous congestion, a majority of HFpEF patients develop pulmonary hypertension (PH). Elevated pulmonary pressures have been shown to be a major determinant of mortality in this population. Given the paucity of available disease-modifying therapies for HFpEF, there has been a considerable interest in evaluating new therapeutic options specifically targeting PH in this patient population.

Citing Articles

Heart Failure with Preserved Ejection Fraction and Pulmonary Hypertension: Focus on Phosphodiesterase Inhibitors.

Ovchinnikov A, Potekhina A, Belyavskiy E, Ageev F Pharmaceuticals (Basel). 2022; 15(8).

PMID: 36015172 PMC: 9414416. DOI: 10.3390/ph15081024.


Structural and Hemodynamic Changes of the Right Ventricle in PH-HFpEF.

Barilli M, Tavera M, Valente S, Palazzuoli A Int J Mol Sci. 2022; 23(9).

PMID: 35562945 PMC: 9103781. DOI: 10.3390/ijms23094554.


Pulmonary arterial hypertension and heart failure with preserved ejection fraction: are they so discordant?.

Ruocco G, Gavazzi A, Gonnelli S, Palazzuoli A Cardiovasc Diagn Ther. 2020; 10(3):534-545.

PMID: 32695633 PMC: 7369277. DOI: 10.21037/cdt-19-405.


Clinical Phenotypes in Heart Failure With Preserved Ejection Fraction.

Samson R, Jaiswal A, Ennezat P, Cassidy M, Le Jemtel T J Am Heart Assoc. 2016; 5(1).

PMID: 26811159 PMC: 4859363. DOI: 10.1161/JAHA.115.002477.

References
1.
Redfield M, Chen H, Borlaug B, Semigran M, Lee K, Lewis G . Effect of phosphodiesterase-5 inhibition on exercise capacity and clinical status in heart failure with preserved ejection fraction: a randomized clinical trial. JAMA. 2013; 309(12):1268-77. PMC: 3835156. DOI: 10.1001/jama.2013.2024. View

2.
Thadani U, PARKER J . Hemodynamics at rest and during supine and sitting bicycle exercise in normal subjects. Am J Cardiol. 1978; 41(1):52-9. DOI: 10.1016/0002-9149(78)90131-5. View

3.
Michelakis E, Tymchak W, Lien D, Webster L, Hashimoto K, Archer S . Oral sildenafil is an effective and specific pulmonary vasodilator in patients with pulmonary arterial hypertension: comparison with inhaled nitric oxide. Circulation. 2002; 105(20):2398-403. DOI: 10.1161/01.cir.0000016641.12984.dc. View

4.
Borlaug B, Lam C, Roger V, Rodeheffer R, Redfield M . Contractility and ventricular systolic stiffening in hypertensive heart disease insights into the pathogenesis of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2009; 54(5):410-8. PMC: 2753478. DOI: 10.1016/j.jacc.2009.05.013. View

5.
Prasad A, Hastings J, Shibata S, Popovic Z, Arbab-Zadeh A, Bhella P . Characterization of static and dynamic left ventricular diastolic function in patients with heart failure with a preserved ejection fraction. Circ Heart Fail. 2010; 3(5):617-26. PMC: 3716372. DOI: 10.1161/CIRCHEARTFAILURE.109.867044. View