In this podcast, Dr Nicholas Jones, GP cardiologist, academic GP and Wellcome Trust Doctoral Research Fellow, discusses heart failure with preserved ejection fraction (HFpEF). Left ventricular function in HFpEF is normal, or near normal - that is, 50% or greater - but with symptoms that we recognise as being of heart failure. He talks about recognising and diagnosing the syndrome, along with potential treatment options and emerging evidence on effective therapies for symptoms control and prognostic benefit.