Heart failure with preserved ejection fraction

Patients should be advised to:

• Monitor blood pressure closely

• Perform daily weights to monitor volume status

• Manage weight through diet and regular, symptom-limited exercise

• Avoid excessive intake of sodium

• Discontinue tobacco and alcohol

• Have at least annual follow-up visits with the primary care physician for screening tests.

• Have vaccinations against respiratory infections, such as influenza, COVID-19, pneumococcal disease, and respiratory syncytial virus (patients ages 60 years and older).[162]Melgar M, Britton A, Roper LE, et al. Use of respiratory syncytial virus vaccines in older adults: recommendations of the Advisory Committee on Immunization Practices - United States, 2023. MMWR Morb Mortal Wkly Rep. 2023 Jul 21;72(29):793-801. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10360650 http://www.ncbi.nlm.nih.gov/pubmed/37471262?tool=bestpractice.com

• Manage comorbidities:

  • Control of hypertension and diabetes (e.g., provide patients with blood pressure and HbA1c goal)

  • Management of lipids (e.g., provide leaflets and show website links for diet, exercise, and healthy lifestyle).