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. 2021 Jun 8;116(6):1174–1212. [Article in Portuguese] doi: 10.36660/abc.20210367

Table 1.2. HFA PEFF score HFpEF diagnosis.

DOMAIN MAJOR CRITERIA
(2 points)
MINOR CRITERIA
(1 point)
FUNCTIONAL e’ septal < 7 or
e’ lateral < 10 or
E/e’ > 15 or
RT velocity > 2.8 m/s
(PSAP > 35 mmHg)
E/e’: 9-14 or
GLS < 16%
MORPHOLOGIC LA Vol index > 34 mL/m2 or
LVMI > 149/122 g/m2 (H/M) and
RWT > 0.42
LA Vol index: 29 - 34 mL/m2 or
LVMI > 115/95 g/m2 (H/M) or
RWT > 0.42 or
left ventricular wall thickness ≥ 12 mm
BIOMARKER
(sinus rhythm)

BIOMARKER
(atrial fibrilation)
NT-proBNP > 220 pg/mL or
BNP > 80 pg/mL

NT-proBNP > 660 pg/mL or
BNP > 240 pg/mL
NT-proBNP: 125 - 220 pg/mL or
BNP 35 - 80 pg/mL

NT-proBNP: 365 - 660 pg/mL or
BNP: 105 - 240 pg/mL

Adapted from Pieske B et al.7Heart Failure Association (HFA) of the European Society of Cardiology (ESC). Eur J Heart Fail. 2020; 22:391-412.

BNP: B-type natriuretic peptide; GLS: global longitudinal systolic strain; LAVI: left atrial volume index; LV: left ventricular; m: men / w: women; NT-proBNP: N-terminal B-type natriuretic peptide; PW: posterior wall; RWT: relative wall thickness; TR velocity: tricuspid regurgitation velocity. BNP: B-type natriuretic peptide; GLS: global longitudinal systolic strain; LAVI: left atrial volume index; LV: left ventricular; m: men / w: women; NT-proBNP: N-terminal B-type natriuretic peptide; PW: posterior wall; RWT: relative wall thickness; TR velocity: tricuspid regurgitation velocity.