espanolLa insuficiencia cardiaca con fraccion de eyeccion preservada constituye un sindrome clinico con una prevalencia estimada entre el 1% al 5.5%, el cual se asocia con edad avanzada, diversos mecanismos inflamatorios y alteraciones metabolicas, que propician cambios estructurales propios de esta condicion. Se ha establecido para su diagnostico una fraccion de eyeccion mayor al 50% y marcadores de disfuncion diastolica valorados por ecocardiografia. El abordaje de este sindrome es complejo dada la variabilidad de fenotipos que pueden presentarse clinicamente y, por esto, se han disenado diversas estrategias para favorecer un adecuado diagnostico y tratamiento, como escalas predictivas, metodos imagenologicos no invasivos y biomarcadores, entre otros. En este articulo de revision narrativa, se realizo una busqueda ampliada de la literatura con el fin de ofrecer un abordaje practico de esta condicion. EnglishHeart failure with preserved ejection fraction is a clinical syndrome with an estimated prevalence between 1% and 5.5%, which is associated with advanced age, multiple inflammatory mechanisms, and metabolic alterations that promote structural typical alterations of this condition. The diagnosis of this heart failure has been established as an ejection fraction > 50% and diastolic dysfunction markers through the echocardiography. The approach to this syndrome is complex due to the variability of phenotypes that can appear clinically. A lot of strategies have been designed to favor an adequate diagnosis and treatment, such as predictive scales, non-invasive imaging methods, biomarkers, among others. In this narrative review article, we performed an expanded search of the literature to give a practical approach to this condition.