Screening
There is no evidence to support screening for HFpEF in the general asymptomatic population; however, meticulous attention to cardiovascular risk factor modification is crucial at every physician review. Echocardiography should be performed only in the appropriate clinical scenario when signs and symptoms of heart failure are present or when underlying structural heart disease is suspected or needs to be excluded (e.g., hypertension). Clinical evaluation is paramount in screening these patients.
Risk factors: comorbidities and causes
Screening for risk factors such as hypertension, diabetes, and obesity should be performed in accordance with individual guidelines for these conditions. Since risk factor modification is crucial to the management of HFpEF, screening for these risk factors is encouraged.
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