Just in Time From JACC: Classification of Heart Failure According to Ejection Fraction
Carolyn S. P. Lam
Senior Consultant Cardiologist, National Heart Centre Singapore, Singapore
Interviewer: Sidney C. Smith Jr., MD, MACC
Professor of Medicine/Cardiology, University of North Carolina at Chapel Hill, Chapel Hill, NC
Correspondent: Maya Ignaszewski, MD
Fellow in Training, Northwestern Memorial Hospital, Chicago, IL
Recent developments in heart failure management call for reconsideration of heart failure classification into heart failure with “reduced” (<40%), “mildly reduced,” and “normal” (>55% in men and >60% in women) ejection fraction. The benefits of neurohormonal blockade, currently used for treatment of patients with heart failure with reduced ejection fraction, may extend to patients with heart failure with mildly reduced ejection fraction, and to certain patients in a higher ejection fraction range.