HFpEF risk assessment using H2FPEF score in community-dwelling young Hispanic adults
By
Andrew Kim
Fadi I. Musfee
Soumya Patnaik
Miryoung Lee
Emma Molina
David D. McPherson
Joseph B. McCormick
Susan P. Fisher-Hoch
Susan T. Laing
May 29, 2026
Clinical Scorecard: Evaluating HFpEF Risk in Young Hispanic Adults Living in the Community Using the H2FPEF Score
At a Glance
Category Detail
Condition Heart Failure with Preserved Ejection Fraction (HFpEF)
Key Mechanisms Increased cardiometabolic risk factors leading to HFpEF prevalence.
Target Population Asymptomatic young Hispanic adults.
Care Setting Community-dwelling cohort.
Key Highlights
43% of participants had intermediate-high H2FPEF scores. 33% of participants under 60 years had intermediate-high H2FPEF scores. Significant associations with increased H2FPEF scores include age, metabolic syndrome, and higher hemoglobin A1c.
Guideline-Based Recommendations
Diagnosis
Utilize the H2FPEF score for evaluating dyspnea and HFpEF risk.
Management
Focus on cardiometabolic risk control in young Hispanic populations.
Monitoring & Follow-up
Regular assessment of H2FPEF scores in at-risk populations.
Risks
Underdiagnosis and undertreatment of HFpEF in community settings.
Patient & Prescribing Data
Community-dwelling Hispanic adults, particularly those under 60.
Targeted interventions for cardiometabolic risk factors may reduce HFpEF incidence.
Clinical Best Practices
Implement H2FPEF scoring in routine evaluations for at-risk populations. Address lifestyle factors such as sedentary behavior in management plans.
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