Heart Failure with Preserved Ejection Fraction: Management Principles General Therapeutic Principles: Reduce the congestive state - Caution to not reduce preload excessively Control blood pressure - Central aortic blood pressure control may be more relevant Maintain atrial contraction and prevent tachycardia - Efforts to maintain sinus rhythm in atrial fibrilation may be beneficial Treat and prevent myocardial ischemia - May mimic HF as an "angina equivalent" Detect and treat sleep apnea - Common co-morbidity causing systemic hypertension, pulmonary hypertension and right heart dysfunction (adaptive servo-ventilation ineffective) #Management #Cardiology #HFpEF #dCHF #Diastolic #Treatment #HeartFailure #PreservedEF
