HFpEF Diagnosis Using Integrated H2FPEF Scoring in Echocardiogram Reports
- 1Department of Medical Education, Griffin Hospital, Derby, Connecticut, USA
- 2Department of Medicine, Griffin Hospital, Derby, Connecticut, USA
- 3Department of Medicine, Division of Cardiology, Griffin Hospital, Derby, Connecticut, USA
Abstract
Background: Heart failure with preserved ejection fraction (HFpEF) accounts for a substantial and growing proportion of heart failure hospitalizations, yet diagnosis remains challenging due to the need for integrated clinical and echocardiographic assessment rather than a single definitive parameter.
Project Rationale: Variability in interpreting echocardiographic findings leads to diagnostic uncertainty and delays in treatment. Embedding the H2FPEF score into echocardiogram reports may standardize assessment and improve recognition of HFpEF.
Project Summary: A quality improvement initiative at Griffin Hospital integrated H2FPEF scoring into echocardiogram reports for patients with suspected new acute heart failure and preserved left ventricular ejection fraction. Among 44 eligible patients, 29 had complete data for score calculation. The score supported HFpEF diagnosis in 17 patients and ruled it out in 5, improving diagnostic clarity. Guideline-directed medical therapy was initiated in most confirmed cases, demonstrating impact on management.
Take-Home Message: Embedding H2FPEF scoring into routine echocardiography reporting is feasible and improves diagnostic consistency and treatment initiation in suspected HFpEF.
Related
- H2FPEF Score and Charlson Comorbidity Index as Independent Predictors of Cardiovascular Outcomes in Elderly Patients Undergoing Geriatric Rehabilitation
- Two case reports of small cell lung cancer: typical CT manifestations, with one case illustrating adjunctive CT-based diagnosis without pathological confirmation
- Integrated Multi-Omics Convergence Scoring Reveals Modular Network Architecture with Age-Associated Mitochondrial Signatures in Sarcopenia
- Reply to: ‘Cardiac damage progression: which echocardiogram starts the prognostic clock?’
- Clinical research advances in pulmonary infections in 2025: a narrative review of multipathogen assessment, precision diagnosis, and integrated management
BibTeX
@article{riveratovar2026hfpef,
title = {{HFpEF Diagnosis Using Integrated H2FPEF Scoring in Echocardiogram Reports}},
author = {Cesar A. Rivera-Tovar and Deepika Vunnam and Abdelhameed Nienaa and Olugbenga Arole and Michael S. Lee},
journal = {JACC Case Reports},
year = {2026},
month = sep,
doi = {10.1016/j.jaccas.2026.109531},
url = {https://doi.org/10.1016/j.jaccas.2026.109531},
note = {CC BY-NC-ND 4.0},
}
RIS
TY - JOUR
TI - HFpEF Diagnosis Using Integrated H2FPEF Scoring in Echocardiogram Reports
AU - Cesar A. Rivera-Tovar
AU - Deepika Vunnam
AU - Abdelhameed Nienaa
AU - Olugbenga Arole
AU - Michael S. Lee
PY - 2026
DA - 2026/09/16
JO - JACC Case Reports
DO - 10.1016/j.jaccas.2026.109531
UR - https://doi.org/10.1016/j.jaccas.2026.109531
AB - Background: Heart failure with preserved ejection fraction (HFpEF) accounts for a substantial and growing proportion of heart failure hospitalizations, yet diagnosis remains challenging due to the need for integrated clinical and echocardiographic assessment rather than a single definitive parameter. Project Rationale: Variability in interpreting echocardiographic findings leads to diagnostic uncertainty and delays in treatment. Embedding the H2FPEF score into echocardiogram reports may standardize assessment and improve recognition of HFpEF. Project Summary: A quality improvement initiative at Griffin Hospital integrated H2FPEF scoring into echocardiogram reports for patients with suspected new acute heart failure and preserved left ventricular ejection fraction. Among 44 eligible patients, 29 had complete data for score calculation. The score supported HFpEF diagnosis in 17 patients and ruled it out in 5, improving diagnostic clarity. Guideline-directed medical therapy was initiated in most confirmed cases, demonstrating impact on management. Take-Home Message: Embedding H2FPEF scoring into routine echocardiography reporting is feasible and improves diagnostic consistency and treatment initiation in suspected HFpEF.
SN - 2666-0849
ER -