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Cardiology9 papers

Heart failure with normal ejection fraction

Last edited: 4/10/2026

Overview

Heart failure (HF) is a complex clinical syndrome without a single reference standard diagnostic test 1. Heart failure with preserved ejection fraction (HFpEF) is a subtype characterized by symptoms and signs of HF with a normal left ventricular ejection fraction (LVEF) 1.

Diagnosis

  • Imaging plays a supportive role in the initial assessment of suspected HF, including evaluation of pulmonary edema and detection of left ventricular dysfunction 1.
  • In adults with established HF but unknown etiology, imaging is important for assessing underlying disease processes, such as ischemic and nonischemic etiologies 1.
  • Follow-up imaging in adults with established HF without new symptoms assesses longitudinal changes in ventricular function, response to therapy, and prognostication 1.
  • Management

  • No specific management strategies for HFpEF are detailed in the provided abstracts.
  • Special Populations

  • No specific information on special populations is provided in the abstracts.
  • Key Recommendations

  • Imaging has a supportive role in the initial assessment of adults with suspected HF, including evaluation of pulmonary edema and detection of left ventricular dysfunction 1. (Evidence: Expert opinion)
  • In adults with established HF but unknown etiology, imaging is important for assessing underlying disease processes 1. (Evidence: Expert opinion)
  • Follow-up imaging is performed in adults with established HF without new symptoms to assess longitudinal changes in ventricular function, response to therapy, and prognostication 1. (Evidence: Expert opinion)
  • References

    1 Roberts J, Hanneman K, Rajiah PS, Ahmad S, Avery R, Brown WM et al.. ACR Appropriateness Criteria® Suspected and Known Heart Failure: 2024 Update. Journal of the American College of Radiology : JACR 2025. link

    Original source

    1. [1]
      ACR Appropriateness Criteria® Suspected and Known Heart Failure: 2024 Update.Roberts J, Hanneman K, Rajiah PS, Ahmad S, Avery R, Brown WM et al. Journal of the American College of Radiology : JACR (2025)

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