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Cardiology
Assessment

Patient appears to be in compensated heart failure with preserved ejection fraction

Meaning

The patient displays signs and symptoms suggestive of heart failure, but the heart's ejection fraction (the percentage of blood pumped out with each contraction) is within the normal range. The body is currently compensating for the heart's reduced efficiency, but this state may progress.

Clinical Context

Used when a patient exhibits signs and symptoms of heart failure (e.g., shortness of breath, fatigue, edema) despite a normal or near-normal ejection fraction. This often indicates diastolic dysfunction, where the heart's ability to relax and fill with blood is impaired.

Example Usage

"Patient appears to be in compensated heart failure with preserved ejection fraction, exhibiting mild dyspnea on exertion and lower extremity edema. Ejection fraction measured at 60% on recent echocardiogram."

Usage Context

Use cautiously, as a definitive diagnosis requires comprehensive evaluation. Document supporting clinical findings and diagnostic test results.

Related Phrases
Diastolic dysfunction
Heart failure with preserved ejection fraction (HFpEF)
Dyspnea on exertion
Edema
Echocardiogram
Related ICD-10 Code
I50.31

Frequently Asked Questions

Common questions about using medical phrases in clinical documentation

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