❤️ H2FPEF Score (HFpEF Probability)
Estimate the probability of HFpEF with the H2FPEF score.
H2FPEF Score (HFpEF Probability)
Heavy: BMI > 30 kg/m²
Hypertensive: ≥ 2 antihypertensives
Atrial Fibrillation
Pulmonary hypertension (PASP > 35 mmHg)
Elder: age > 60
Filling pressure: Doppler E/e' > 9
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.