• J Clin Anesth · Jun 2024

    Review

    One size does not fit all: Perioperative management of patients with heart failure with preserved ejection fraction.

    • Wei Dong Gao.
    • Johns Hopkins University, Baltimore, MD, USA. Electronic address: wgao3@jhmi.edu.
    • J Clin Anesth. 2024 Jun 1; 94: 111409111409.

    AbstractHeart failure with preserved ejection fraction (HFpEF) is recognized as an important risk factor for perioperative complications. However, anesthesia management of HFpEF patients remains a considerable challenge without clear guidance. HFpEF is heterogeneous in its pathophysiological processes, diverse clinical presentations, adverse remodeling of cardiovascular and other organs, and clinical outcomes. It is difficult to manage the disease with one fixed approach because of this. This review phenotypes HFpEF patients by combining their clinical features and anesthesia care issues. Five phenotypes of HFpEF patients are identified: A, O, P, C, and Y. The clinical features, anesthesia implications, and anesthesia management for each phenotype are highlighted and discussed. Such an approach to HFpEF patients in the operating room could deliver safe, high-quality perioperative care.Copyright © 2024 Elsevier Inc. All rights reserved.

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