H₂FPEF score for HFpEF
Probability of heart failure with preserved ejection fraction in unexplained dyspnea.
Inputs
Heavy: BMI above 30
Hypertensive: 2 or more antihypertensives
Atrial fibrillation (paroxysmal or persistent)
Pulmonary hypertension: PASP above 35 mmHg on echo
Elder: age above 60
Filling pressure: E/e′ above 9
Worked calculation
Your values are highlighted.
- Points
When to use
- Unexplained dyspnea with EF 50% or higher.
Pearls and pitfalls
- Intermediate scores may need exercise or invasive hemodynamic testing.
Why use
Simple, validated HFpEF probability.
| Criterion | Points |
|---|---|
| Heavy: BMI above 30 | +2 |
| Hypertensive: 2 or more antihypertensives | +1 |
| Atrial fibrillation (paroxysmal or persistent) | +3 |
| Pulmonary hypertension: PASP above 35 mmHg on echo | +1 |
| Elder: age above 60 | +1 |
| Filling pressure: E/e′ above 9 | +1 |