Consensus documents have been pushing Heart Failure with Improved EF (HFimpEF), which is fine. My personal mishigas is that categorical definitions based on EF are problematic generally. But it’s the world we live in 🤷🏻‍♂️ - ThreadSky

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bernardkadosh.bsky.social • 91 days ago

Consensus documents have been pushing Heart Failure with Improved EF (HFimpEF), which is fine.

My personal mishigas is that categorical definitions based on EF are problematic generally. But it’s the world we live in 🤷🏻‍♂️

Comments

profbrunt.bsky.social•87 days ago

Me over here with my dictionary. . .lol

cnewtoncheh.bsky.social•91 days ago

I use the phrase suggested above HFrEF with improved (not recovered) EF, mostly so PCPs or others (esp if care transferred to new institution) don’t stop HFrEF meds. Can’t see a compelling reason to use HFrecEF or cardiomyopathy (could be HCM, ATTR-CM).

cardiacpa1.medsky.social•91 days ago

Both replies make sense.

Use "HFimpEF" then just state newest EF, which of course could be 20>45% or 30>55%.

cnewtoncheh.bsky.social•91 days ago

I agree. I try to document nadir EF and current EF and its trajectory (improving/falling) as well as whether GDMT tolerance is increasing or decreasing. I find the lack of nuance in the HFrEF, HFrecEF, HFimpEF terms to be barriers to understanding the indicated therapies.

concernecus.bsky.social•90 days ago

I humbly submit HFimpEFBDTtM

heart failure with improved EF but DON'T TOUCH THE MEDS 😁

cnewtoncheh.bsky.social•90 days ago

Now you’re talking!

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