Abstract: Heart failure with preserved ejection fraction (HFpEF) is a complex clinical syndrome with complex mechanisms. The diagnosis of HFpEF is challenging due to the absence of specificity in early signs and symptoms. With the rapid development of related imaging techniques, further progress has been made in the study of the pathogenesis and pathophysiological changes of HFpEF, which opens up a new direction for the early diagnosis and clinical management of HFpEF. The paper reviews the current research status and progress on the imaging of HFpEF in recent years.