TABLE 3

Recommendations for patients with heart failure with preserved ejection fraction

RecommendationClassa
Aldosterone receptor antagonistsbIIb
Angiotensin II receptor blockersIIb
Routine use of nitrates or phosphodiesterase-5 inhibitors is ineffectiveIII
  • a Class of recommendation (I strong, Ila moderate, Ilb weak, III no benefit).

  • b In patients with ejection fraction ≥ 45%, elevated B-type natriuretic peptide levels or heart failure admission within 1 year, estimated glomerular filtration rate > 30 mL/ min, creatinine < 2.5 mg/dL, potassium < 5.0 mmol/L.

  • Information from reference 1.