Congestive heart failure has long been perceived to be a result of impaired or reduced left ventricular systolic function. However, Heart Failure with Preserved Systolic Function (HFpEF) in which left ventricular ejection fraction is normal or near normal can account for up to half of heart failure hospitalisations. It is associated with significant morbidity and mortality. This lecture reviews the pathophysiology, diagnosis and management of this form of heart failure which is more common in women, elderly and hypertensives.
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