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<p>Current HFpEF diagnostic criteria frequently identify age-related and potentially para-physiological cardiac abnormalities rather than a true congestive cardiomyopathy. Many elderly patients currently labeled as HFpEF may instead represent a phenotype of age-related exertional dyspnea with limited intrinsic tendency toward acute heart faiulre. Findings from both the cohort by Presta et al. and our recent acute heart failure cohort support the need for more specific and congestion-oriented diagnostic approaches in older multimorbid populations.</p>

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HFpEF overclassification in older adults

  • 期刊论文

  • 发表日期：

    2026年6月2日

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  • Maria Giulia Bellicini

摘要

Current HFpEF diagnostic criteria frequently identify age-related and potentially para-physiological cardiac abnormalities rather than a true congestive cardiomyopathy. Many elderly patients currently labeled as HFpEF may instead represent a phenotype of age-related exertional dyspnea with limited intrinsic tendency toward acute heart faiulre. Findings from both the cohort by Presta et al. and our recent acute heart failure cohort support the need for more specific and congestion-oriented diagnostic approaches in older multimorbid populations.