Diagnostic Accuracy of the Electrocardiogram for Heart Failure With Reduced or Preserved Ejection Fraction

Jasper Tromp, Peter van der Meer, Wan Ting Tay, Lieng Hsi Ling, Seet Yoong Loh, Dinna Soon, Calvin Chin, Fazlur Jaufeerally, Sahiddah Bamadhaj, Tze Pin Ng, Sheldon S.G. Lee, David Sim, Poh Suan Daniel Yeo, Gerard Kui Toh Leong, Hean Yee Ong, Erwin Tantoso, Frank Eisenhaber, A. Mark Richards, Carolyn S.P. Lam

Research output: Contribution to journalLetterAcademicpeer-review

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Abstract

Current heart failure (HF) guidelines recommend electrocardiography (ECG) as an essential initial investigation in a patient's workup. 1 However, these recommendations were based on studies primarily including patients with HF with reduced ejection fraction (HFrEF). 1 , 2 , 3 Guidelines do not distinguish HFrEF from HF with preserved and mid-range ejection fraction (HFpEF and HFmrEF) in their ECG recommendations. We hypothesized that a normal ECG does not exclude HFpEF and has a considerably lower sensitivity for diagnosing HFpEF than HFrEF.
Original languageEnglish
Pages (from-to)1104-1106
Number of pages3
JournalJournal of Cardiac Failure
Volume29
Issue number7
DOIs
Publication statusPublished - Jul-2023

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