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, Lino Gonçalves, Jorge Ferreira, Carlos Aguiar, Manuela Fonseca, Ricardo Fontes-Carvalho, Fátima Franco, Carolina Lourenço, Elisabete Martins, Hélder Pereira, Mário Santos, Joana Pimenta

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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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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.