H2FPEF Score
Estimates the probability of heart failure with preserved ejection fraction.
When to use
Adults with dyspnea and suspected heart failure with preserved ejection fraction.
Pearls and pitfalls
- The score gives 3 points for atrial fibrillation and 2 for BMI above 30.
- Hypertension with two or more drugs, pulmonary hypertension, age above 60 and E/e′ above 9 each score 1 point.
- High probability does not confirm the diagnosis; it may indicate the need for hemodynamic testing.
- The score was derived in a dyspnea cohort and does not replace echocardiographic assessment.
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Formula
Add BMI above 30 (2), hypertension with two or more drugs (1), atrial fibrillation (3), pulmonary hypertension (1), age above 60 (1) and E/e′ above 9 (1).
Evidence
Score derived and validated to estimate the probability of HFpEF in patients with dyspnea.
References
- Reddy YNV, Carter RE, Obokata M, Redfield MM, Borlaug BA. A simple, evidence-based approach to help guide diagnosis of heart failure with preserved ejection fraction. Circulation. 2018;138(9):861-870. doi:10.1161/CIRCULATIONAHA.118.034646
Frequently asked questions
What is H2FPEF Score?
Estimates the probability of heart failure with preserved ejection fraction. Adults with dyspnea and suspected heart failure with preserved ejection fraction.
How is the result calculated?
Add BMI above 30 (2), hypertension with two or more drugs (1), atrial fibrillation (3), pulmonary hypertension (1), age above 60 (1) and E/e′ above 9 (1).
How should the result be interpreted?
Score derived and validated to estimate the probability of HFpEF in patients with dyspnea.
What are the sources?
Reddy YNV, Carter RE, Obokata M, Redfield MM, Borlaug BA. A simple, evidence-based approach to help guide diagnosis of heart failure with preserved ejection fraction. Circulation. 2018;138(9):861-870.