{"id":1680,"date":"2017-11-03T12:46:23","date_gmt":"2017-11-03T10:46:23","guid":{"rendered":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1680"},"modified":"2017-11-03T12:46:23","modified_gmt":"2017-11-03T10:46:23","slug":"heart-failure-with-preserved-ejection-fraction-improving-diagnosis-and-management","status":"publish","type":"post","link":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1680","title":{"rendered":"Heart Failure with Preserved Ejection Fraction Improving Diagnosis and Management"},"content":{"rendered":"<p><a href=\"http:\/\/www.modernmedia.co.za\/modernmedicine\/DigitalEditions\/mm1710-october-2017\/html5\/index.html\">Heart Failure with Preserved Ejection Fraction Improving Diagnosis and Management<\/a><\/p>\n<p>Heart failure with preserved ejection fraction (HFpEF, diastolic heart failure) is equally as common as heart<br \/>\nfailure with reduced ejection fraction (HFrEF, systolic heart failure). HFpEF is an emerging epidemic, due to the<br \/>\nincreasing age of the population and increasing incidence of risk factors such as obesity and hypertension.<br \/>\nRecognition of the typical signs and symptoms of heart failure in the setting of specific echocardiographic<br \/>\nfeatures is key to diagnosis. The diagnosis can be confirmed with exercise right heart catheterisation.<br \/>\nKey principles of management are blood pressure control, physical activity, optimisation of comorbidities<br \/>\nand judicious volume management. Few therapies are effective at reducing morbidity or mortality in HFpEF<br \/>\nat present. Active research is under way to develop appropriate diagnostic and management strategies.<\/p>\n<p><em>Modern Medicine \u2013 October 2017<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Heart Failure with Preserved Ejection Fraction Improving Diagnosis and Management Heart failure with preserved ejection fraction (HFpEF, diastolic heart failure) is equally as common as heart&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2},"beyondwords_generate_audio":"","beyondwords_project_id":"","beyondwords_content_id":"","beyondwords_preview_token":"","beyondwords_player_content":"","beyondwords_player_style":"","beyondwords_language_code":"","beyondwords_language_id":"","beyondwords_title_voice_id":"","beyondwords_body_voice_id":"","beyondwords_summary_voice_id":"","beyondwords_error_message":"","beyondwords_disabled":"","beyondwords_delete_content":"","beyondwords_podcast_id":"","beyondwords_hash":"","publish_post_to_speechkit":"","speechkit_hash":"","speechkit_generate_audio":"","speechkit_project_id":"","speechkit_podcast_id":"","speechkit_error_message":"","speechkit_disabled":"","speechkit_access_key":"","speechkit_error":"","speechkit_info":"","speechkit_response":"","speechkit_retries":"","speechkit_status":"","speechkit_updated_at":"","_speechkit_link":"","_speechkit_text":""},"categories":[1],"tags":[],"class_list":["post-1680","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5REYo-r6","_links":{"self":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1680","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1680"}],"version-history":[{"count":1,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1680\/revisions"}],"predecessor-version":[{"id":1681,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1680\/revisions\/1681"}],"wp:attachment":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1680"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1680"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1680"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}