❤️ HFA-PEFF Score (HFpEF)
UseWhen to use: HF symptoms with LVEF ≥50% after pretest clinical assessment.
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.)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
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 domain | 1 — 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 domain | 0 — 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)