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❤️ HFA-PEFF Score (HFpEF)

UseWhen to use: HF symptoms with LVEF ≥50% after pretest clinical assessment.

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Strata≥5 definite; 2–4 intermediate work-up; ≤1 unlikely.

LimitsWhen not to use: HFrEF / acute decompensation only pathways. · Pitfall: skipping pretest probability. · Not a sole cath order.

SourceESC HFA-PEFF diagnostic score (Pieske et al.)

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

Three domains.

When to use

When to use: HF symptoms with LVEF ≥50% after pretest clinical assessment.

How it works

Functional + morphological + biomarker domains (major=2, minor-only=1 each).

Key points

  • Three domains.
  • Max 6.
  • Next: diastolic stress / invasive HFpEF testing.

References

  • [Guideline / primary source]ESC HFA-PEFF diagnostic score (Pieske et al.)

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Functional domain (echo / stress)1 — minor only
Morphological domain1 — minor only
Biomarker domain (NP)1 — minor only

→HFA-PEFF3/6

  • Cue:2–4 — intermediate; further work-up / diastolic stress test cue
Functional domain (echo / stress)0 — no criteria
Morphological domain0 — no criteria
Biomarker domain (NP)0 — no criteria

→HFA-PEFF0/6

  • Cue:≤1 — HFpEF unlikely from score alone
Verification & sources · governance
FAQ

Frequently asked questions

Does HFA-PEFF Score (HFpEF) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is HFA-PEFF Score (HFpEF) calculated in practice? Can you show a worked example?
Inputs: Functional domain (echo / stress) 1 — minor only, Morphological domain 1 — minor only, Biomarker domain (NP) 1 — minor only → Result: HFA-PEFF 3 /6(Cue: 2–4 — intermediate; further work-up / diastolic stress test cue) Inputs: Functional domain (echo / stress) 0 — no criteria, Morphological domain 0 — no criteria, Biomarker domain (NP) 0 — no criteria → Result: HFA-PEFF 0 /6(Cue: ≤1 — HFpEF unlikely from score alone)
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