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2D. Echo
Is it possible for 2D echo to miss heart failure with preserved ejection fraction Hfpef, as in can the 2D echo report be completely normal even if the person has Hfpef ?
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Please seek a proper consultation with a General Physician.
I want to find out what you mean to say when you mention "Heart' failure".
Unfortunately the Medical definition of Heart failure is different from what the non medico person says.
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Yes.
It can be.
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Hello,
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Thanks.
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Yes.
HFpEF is a clinical diagnosis.
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Need detailed history. Yes heart failure can occur with preserved EF, depending on multiple factors.
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As such no.
Go for trop. I test blood.
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Yes
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Gautham Raj
General Physician
3 yrs exp
Chennai
Yes, it is possible for a **2D echocardiogram** to appear **normal** even if a person has **heart failure with preserved ejection fraction (HFpEF)**. HFpEF is a complex condition where the heart's **ejection fraction remains normal**, but there are **functional abnormalities**, such as **diastolic dysfunction**, **increased filling pressures**, or **vascular stiffness**, which may not be fully captured by a standard **2D echo**.
A **2D echo primarily assesses cardiac structure and systolic function**, but HFpEF is often characterized by **subtle diastolic dysfunction**, which may require **advanced echocardiographic techniques** like:
- **Tissue Doppler Imaging (TDI)** to assess myocardial relaxation.
- **Speckle-tracking echocardiography** for strain analysis.
- **Left atrial volume index and E/e' ratio** to estimate filling pressures.
In some cases, **clinical symptoms**, **biomarkers (like NT-proBNP)**, and **stress echocardiography** may be needed to confirm HFpEF, especially if the **2D echo appears normal**
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for complete evaluation. Please consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Yes
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Sadiq Basha
General Physician
5 yrs exp
Kadapa
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