Discrepancy in the Diagnosis of Heart Failure With Preserved Ejection Fraction Between Supine Versus Upright Exercise Hemodynamic Testing
Half of patients who met HFpEF criteria in the supine position did not meet the criteria in the upright position. Patients with a discordant HFpEF phenotype had less structural and hemodynamic abnormalities compared with those with concordant HFpEF. A Supright exercise right heart catheterization approach is feasible and merits further investigation to determine the clinical implications of discordant exercise hemodynamic findings in supine and upright positions.
Authors
- Fabio Previdi (ORCID: https://orcid.org/0000-0002-3713-7727)
- Gianfranco Parati (ORCID: https://orcid.org/0000-0001-9402-7439)
- Ashley Swavely
- Erin L. Young (ORCID: https://orcid.org/0000-0002-7535-006X)
- Giovanni Battista Perego (ORCID: https://orcid.org/0000-0001-8735-7851)
- Luigi Paolo Badano (ORCID: https://orcid.org/0000-0002-0379-3283)
- Jean‐Luc Vachiéry
- Ettore Lanzarone (ORCID: https://orcid.org/0000-0001-8816-9086)
- Claudia Baratto (ORCID: https://orcid.org/0000-0003-3472-4851)
- Michele Senni (ORCID: https://orcid.org/0000-0001-5502-7882)
- Marat Fudim (ORCID: https://orcid.org/0000-0002-8671-7007)
- Veraprapas Kittipibul (ORCID: https://orcid.org/0000-0002-9107-1837)
- Sergio Caravita (ORCID: https://orcid.org/0000-0002-3003-6499)
- Jeroen Molinger (ORCID: https://orcid.org/0000-0003-0608-3305)
- Stefano Paleari (ORCID: https://orcid.org/0000-0001-6099-560X)
- Brandy Patterson (ORCID: https://orcid.org/0009-0006-0214-4624)
- A. M. H. Gray
- J. P. H. Fee
- Jeffrey Mikitka
- Olivia Dobbin
- Matthew Radzom
Institutions
- University of Bergamo (IT)
- Université Libre de Bruxelles (BE)
- Duke University (US)
- Wroclaw Medical University (PL)
- Clinical Research Institute (US)
- Ospedale Papa Giovanni XXIII (IT)
- Duke Medical Center (US)
- IRCCS Istituto Auxologico Italiano (IT)
- Duke University Hospital (US)
- University of Milano-Bicocca (IT)
Publication Details
- Journal
- Circulation Heart Failure
- Published
- 2024-11-08
- DOI
- https://doi.org/10.1161/circheartfailure.124.012020
- Citations
- 19
- Primary Topic
- Cardiovascular Function and Risk Factors
- Type
- article
- Field-Weighted Citation Impact
- 7.64