Patient Identification & Referral
Identifying and treating elevated LAP is critical to improving HF symptoms and quality of life.
- Breathlessness or dyspnea
- Exercise intolerance
- Swelling of extremities
- Jugular distension
- Hepatojugular reflux
- Pulmonary crepitation
- 3rd heart sound
- Atrial fibrillation
- Elevated NT-proBNP / NBP
The H2FPEF score was created to simplify the identification of HFpEF patients among those with dyspnea.
A score totaling 3 points or more means
a >50% chance of HFpEF
CONSIDER SENDING HIGH PROBABILITY
HFpEF PATIENTS FOR FURTHER EVALUATION
H2FPEF Scoring Model1
Total score correlates to the probability of HFpEF
in patients with exertional dyspnea.
- Reddy YNV, Carter RE, Obokata M, Redfield MM, Borlaug BA. A Simple, Evidence-Based Approach to Help Guide Diagnosis of Heart Failure With Preserved Ejection Fraction. Circulation. 2018;138(9):861-870.