A Portuguese expert panel position paper on the management of heart failure with preserved ejection fraction – Part II: Unmet needs and organization of care in Portugal

IF 1.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Revista Portuguesa De Cardiologia Pub Date : 2025-03-06 DOI:10.1016/j.repc.2024.12.004

José Silva-Cardoso , Emília Moreira , Rachel Tavares de Melo , Pedro Moraes-Sarmento , Nuno Cardim , Mário Oliveira , Cristina Gavina , Brenda Moura , Inês Araújo , Paulo Santos , Marisa Peres , Cândida Fonseca , João Pedro Ferreira , Irene Marques , Aurora Andrade , Rui Baptista , Dulce Brito , Rui Cernadas , Jonathan dos Santos , Adelino Leite-Moreira , Joana Pimenta

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引用次数: 0

Abstract

In Portugal, a 15.2% prevalence of heart failure with preserved ejection fraction (HFpEF) was recently identified among those aged ≥50 years. HFpEF represents 90% of Portuguese heart failure patients.

HFpEF management in Portugal is challenging due to patient heterogeneity, diagnostic and therapeutic complexity, and organizational constraints on the healthcare system.

Considering the above, a panel of Portuguese experts convened to address HFpEF management within the national context. This was done in a two-paper set.

This, the second paper, identifies unmet needs and suggests a set of measures to improve the current organization of HFpEF management in Portugal. Our purpose is to create a multidisciplinary integrated care system, ensuring a seamless connection between hospitals and primary care. Additionally, we propose a practical approach to the management of HFpEF, including a roadmap for screening, diagnosis, referral and treatment. The aim is to help clinicians improve HFpEF management throughout the disease trajectory.

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葡萄牙专家小组关于保留射血分数的心力衰竭管理的立场文件-第二部分：葡萄牙未满足的需求和护理组织。

在葡萄牙，最近在年龄≥50岁的人群中发现了15.2%的保留射血分数（HFpEF）心力衰竭患病率。HFpEF占葡萄牙心力衰竭患者的90%。由于患者的异质性、诊断和治疗的复杂性以及医疗保健系统的组织限制，HFpEF在葡萄牙的管理具有挑战性。考虑到上述情况，葡萄牙召开了一个专家小组会议，讨论在国家范围内HFpEF的管理问题。这是在两张纸上完成的。这是第二篇论文，确定了未满足的需求，并提出了一套措施，以改善葡萄牙HFpEF目前的管理组织。我们的目的是创建一个多学科综合护理系统，确保医院和初级保健之间的无缝连接。此外，我们提出了一种实用的方法来管理HFpEF，包括筛查、诊断、转诊和治疗的路线图。目的是帮助临床医生在整个疾病发展过程中改善HFpEF的管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Portuguesa De Cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.70

自引率

22.20%

发文量

205

审稿时长

54 days

期刊介绍： The Portuguese Journal of Cardiology, the official journal of the Portuguese Society of Cardiology, was founded in 1982 with the aim of keeping Portuguese cardiologists informed through the publication of scientific articles on areas such as arrhythmology and electrophysiology, cardiovascular surgery, intensive care, coronary artery disease, cardiovascular imaging, hypertension, heart failure and cardiovascular prevention. The Journal is a monthly publication with high standards of quality in terms of scientific content and production. Since 1999 it has been published in English as well as Portuguese, which has widened its readership abroad. It is distributed to all members of the Portuguese Societies of Cardiology, Internal Medicine, Pneumology and Cardiothoracic Surgery, as well as to leading non-Portuguese cardiologists and to virtually all cardiology societies worldwide. It has been referred in Medline since 1987.