H2FPEF Score for HFpEF
Estimates probability of Heart Failure with Preserved Ejection Fraction (HFpEF) in patients with unexplained dyspnoea.
Score interpretation
H2FPEF 0–1: ~21% probability of HFpEF.
→ HFpEF unlikely. Consider alternative causes of dyspnoea (lung disease, deconditioning). Exercise stress echo may be useful if clinical suspicion persists.
H2FPEF 2–5: ~60% probability of HFpEF.
→ Exercise stress echocardiography or diastolic stress testing recommended to confirm diagnosis.
H2FPEF 6–9: ~90% probability of HFpEF.
→ HFpEF highly likely. Initiate appropriate management: diuretics, risk factor control, SGLT2i.
Interpretation bands for the H2FPEF. Apply clinical judgement and local guidance.
References
- Reddy YNV et al. A Simple, Evidence-Based Approach to Help Guide Diagnosis of Heart Failure With Preserved Ejection Fraction. Circulation. 2018;138(9):861-870.
Related
Curated clinical cross-links plus same-class fallbacks.
- NYHA Heart Failure Classification · Heart Failure
- MAGGIC Risk Score for Heart Failure · Heart Failure
- ACC/AHA Heart Failure Staging · Heart Failure
- Framingham Heart Failure Diagnostic Criteria · Heart Failure
- Ottawa Heart Failure Risk Scale · Heart Failure
- GWTG-HF Risk Score for In-Hospital Mortality · Heart Failure
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.