❤️ H2FPEF Score (HFpEF Probability)
Estimate the probability of HFpEF with the H2FPEF score.
Clinical takeaway
Low (0–1) and high (6–9) scores are decisive.
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When to use
Evaluate unexplained dyspnoea with preserved ejection fraction.
How it works
Heavy BMI > 30 (2), Hypertensive ≥ 2 drugs (1), atrial Fibrillation (3), Pulmonary hypertension PASP > 35 (1), Elder > 60 (1), Filling E/e' > 9 (1). 0–9.
Key points
- Low (0–1) and high (6–9) scores are decisive.
- Intermediate scores may need diastolic stress testing.
- Uses clinical plus echocardiographic data.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Heavy: BMI > 30 kg/m² | No |
|---|---|
| Hypertensive: ≥ 2 antihypertensives | No |
| Atrial Fibrillation | No |
| Pulmonary hypertension (PASP > 35 mmHg) | No |
| Elder: age > 60 | No |
| Filling pressure: Doppler E/e' > 9 | No |
→H2FPEF0/9
- Probability：Low probability (~0–25%)
| Heavy: BMI > 30 kg/m² | Yes (+2) |
|---|---|
| Hypertensive: ≥ 2 antihypertensives | Yes (+1) |
| Atrial Fibrillation | Yes (+3) |
| Pulmonary hypertension (PASP > 35 mmHg) | Yes (+1) |
| Elder: age > 60 | Yes (+1) |
| Filling pressure: Doppler E/e' > 9 | Yes (+1) |
→H2FPEF9/9
- Probability：High probability (~90%+)
Frequently asked questions
- What is H2FPEF Score (HFpEF Probability)?
- Estimate the probability of HFpEF with the H2FPEF score.
- How is H2FPEF Score (HFpEF Probability) calculated? What is the core formula?
- Heavy BMI > 30 (2), Hypertensive ≥ 2 drugs (1), atrial Fibrillation (3), Pulmonary hypertension PASP > 35 (1), Elder > 60 (1), Filling E/e' > 9 (1). 0–9.
- When is H2FPEF Score (HFpEF Probability) used?
- Evaluate unexplained dyspnoea with preserved ejection fraction.
- What are the key clinical points for H2FPEF Score (HFpEF Probability)?
- Low (0–1) and high (6–9) scores are decisive. Intermediate scores may need diastolic stress testing. Uses clinical plus echocardiographic data.
- What are the limits and cautions when using H2FPEF Score (HFpEF Probability)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- How is H2FPEF Score (HFpEF Probability) calculated in practice? Can you show a worked example?
- Inputs: Heavy: BMI > 30 kg/m² No, Hypertensive: ≥ 2 antihypertensives No, Atrial Fibrillation No, Pulmonary hypertension (PASP > 35 mmHg) No, Elder: age > 60 No, Filling pressure: Doppler E/e' > 9 No → Result: H2FPEF 0 /9（Probability: Low probability (~0–25%)） Inputs: Heavy: BMI > 30 kg/m² Yes (+2), Hypertensive: ≥ 2 antihypertensives Yes (+1), Atrial Fibrillation Yes (+3), Pulmonary hypertension (PASP > 35 mmHg) Yes (+1), Elder: age > 60 Yes (+1), Filling pressure: Doppler E/e' > 9 Yes (+1) → Result: H2FPEF 9 /9（Probability: High probability (~90%+)）