Heart Failure in Preserved, Mid-Range, and Reduced EF

Abstract

Background Behind : Fail heart (Heart Failure, HF) is syndrome clinical the marked complex with inability heart For fulfil need circulation blood body . Based on faction ejection ventricle left (LVEF), HF is classified become three Category : HF with faction ejection awake ( HFpEF ), fraction ejection range intermediate ( HFmrEF ), and fraction ejection decreased ( HFrEF ). Each type own different etiology , pathophysiology , and management , with impact significant on prognosis and quality life patient . Case : A patient woman 67 years old with history hypertension and diabetes come with complaint progressive shortness of breath , easy tired , and swelling in the legs . Examination echocardiography showed LVEF of 52%, increased jugular venous pressure , and the presence of congestion lungs . NT- proBNP increased , and a diagnosis of HFpEF enforced . Therapy given​ covering diuretics , beta-blockers, and modifications style life , including a low -salt diet and exercise aerobics light . Results : After 3 months evaluation , occurs repair symptom with improvement tolerance activity , decreased peripheral edema , and decline NT- proBNP levels in a way meaningful . Function ventricle still awake and patient No experience worsening clinical and also take care stay repeat . Conclusion : In conclusion , the introduction early HF type based on LVEF is very important For determine the right management strategy . An individual approach that takes into account etiology , condition clinical , and factors risk can increase external clinical , especially in the population age carry on with comorbidity complex .