Heart Failure Fact or Fiction: Early Recognition of Heart Failure Risk

A 46-year-old woman with a history of pre-eclampsia is referred to the clinic as part of a cardiovascular risk stratification for pre-employment screening.

Her examination findings are notable for blood pressure (BP) 137/89 mm Hg, heart rate 82 bpm, no jugular venous distention, regular heart rhythm with an S4 gallop, clear lungs, and no lower extremity edema. An echocardiogram demonstrates mild concentric left ventricular hypertrophy (1.3 cm), end-diastolic dimension 4.8 cm, unremarkable valves, and ejection fraction estimated at 57% by biplane.

She is concerned about developing heart failure (HF) and wants to know her present risk of HF.

The patient is considered to be at risk of HF at present.

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