A patient has exertional breathlessness, LVEF 62%, normal resting filling pressures and an intermediate HFA-PEFF score. During supine cycle

Question

A patient has exertional breathlessness, LVEF 62%, normal resting filling pressures and an intermediate HFA-PEFF score. During supine cycle right-heart catheterisation, pulmonary-capillary wedge pressure rises from 11 to 27 mmHg at 50 W. What does this establish?

Accepted Answer

Heart failure with preserved ejection fraction unmasked by exercise haemodynamics

Answer

Pre-capillary pulmonary hypertension emerging only during supine cycle exercise

Answer

Chronotropic incompetence occurring with normal left-sided filling pressures during exercise

Answer

Dynamic left-ventricular outflow obstruction as the dominant exercise-limiting mechanism

Answer

A normal physiological rise in left-sided filling pressure during exercise

DOAC Acceptable with Bioprosthetic Valve — EECC MCQ

A patient has exertional breathlessness, LVEF 62%, normal resting filling pressures and an intermediate HFA-PEFF score. During supine cycle right-heart catheterisation, pulmonary-capillary wedge pressure rises from 11 to 27 mmHg at 50 W. What does this establish?