Heart failure with normal ejection fraction (HFNEF): is it worth considering?

A significant proportion of patients with heart failure happen to have a normal ventricular ejection fraction at echocardiography during examination. Previously called diastolic heart failure, it is nowadays referred to as heart failure with normal ejection fraction (HFNEF) or HF with preserved ejection fraction. The European Society of Cardiology, recognizing the importance of this type of heart failure, recently issued new definition criteria for it.

Guidelines for the clinical management of atrial fibrillation: a practical perspective.

Purpose: Since the management of atrial fibrillation may be difficult in the individual patient, our purpose was to develop simple clinical recommendations to help the general internist manage this common clinical problem.

Data Sources: Systematic review of the literature with evaluation of data-related evidence and framing of graded recommendations.

Data Synthesis: Atrial fibrillation affects some 1% of the population in Western countries and is linked to a significant increase in morbidity and mortality.