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European Heart Journal Advance Access published online on January 17, 2008
European Heart Journal, doi:10.1093/eurheartj/ehm597
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Heart failure with preserved ejection fraction: dangerous, elusive, and difficult

Olav W. Nielsen1, Lars Køber2 and Christian Torp-Pedersen3,*

1 Department of Cardiology, Bispebjerg University Hospital, DK-2400 Copenhagen NV, Denmark
2 Department of Cardiology, Rigshospitalet, DK-2100 Copenhagen, Denmark
3 Department of Cardiology P, Gentofte University Hospital, Niels Andersensvej 65, DK-2900 Hellerup, Denmark

* Corresponding author: Tel: + 45 39773343, Fax: + 45 39760107. Email: ctp@heart.dk

This editorial refers to ‘Prognosis of heart failure with preserved ejection fraction: a 5-year prospective population-based study’ by C. Tribouilloy et al.{dagger} on page 339

The first 10% of the full text of this article appears below.

Heart failure with preserved ejection fraction has received increasing attention in the last couple of years. The study of Tribouilloy et al.1 adds information to our understanding of the prognosis of this entity. A total of 800 consecutive patients hospitalized for a first episode of heart failure in a region of France were studied. Details of the ejection fraction were available in 83% of patients, and half of these patients had preserved ejection fraction. During a follow-up of 5 years, patients with preserved ejection fraction had a survival of 43%, similar to patients with reduced left ventricular function. The entity of heart failure with preserved ejection fraction remains dangerous, but also elusive and difficult.

Dangerous

The observation that heart failure with preserved ejection fraction is dangerous has now been . . . [Full Text of this Article]

Elusive

Difficult

Solution/implication


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