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

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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Publication Details

Journal
Revista Portuguesa de Cardiologia
Published
2025-03-06
DOI
https://doi.org/10.1016/j.repc.2024.12.004
Citations
1
Primary Topic
Heart Failure Treatment and Management
Type
article
Field-Weighted Citation Impact
1.39

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article

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

Irene Marques, Helder Rodrigues Pereira, Cândida Fonseca, Pedro Sarmento et al.
1 citations
Revista Portuguesa de Cardiologia
Heart Failure Treatment and Management
1.39
article

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

Irene Marques, Helder Rodrigues Pereira, Cândida Fonseca, Pedro Sarmento, Rachel Tavares de Melo, Elisabete Martins, Paulo Roberto Santos, Rui Baptista, Ricardo Fontes‐Carvalho, José Silva‐Cardoso, Manuela Fonseca, Nuno Cardim, Lino Gonçalves, Dulce Brito, Cristina Gavina, Joana Liz-Pimenta, Carlos Aguíar, Emília Moreira, Rui Cernadas, Marisa Peres, Adelino Leite‐Moreira, Fátima Franco, Mário Santos, Jonathan dos Santos, Brenda Moura, Aurora Andrade, Jorge Ferreira, Inês M. Araújo, João Pedro Ferreira, Mário Oliveira, Carolina Lourenço
article en
1 citations

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.

Revista Portuguesa de CardiologiaVol. 44(5)
University of Lisbon (PT), Inserm (FR), Universidade do Porto (PT), Universidade Católica Portuguesa (PT), Hospitais da Universidade de Coimbra (PT), Hospital de São João (PT), Hospital Padre Américo (PT), Unidade Local de Saúde de Entre Douro e Vouga (PT), Hospital de São José (PT), Escola Superior de Tecnologia da Saúde de Coimbra (PT), Hospital Pedro Hispano (PT), Administração Regional de Saúde de Lisboa e Vale do Tejo (PT), CUF Porto Hospital (PT), Instituto Politécnico de Santarém (PT), Hospital de Santa Cruz (PT), Centro Hospitalar do Tâmega e Sousa (PT), Centro Hospitalar de Lisboa Ocidental (PT), Hospital de Santo António (PT), Hospital da Luz (PT), Cardiovascular Research Center (BR), Decision Sciences (United States) (US), Boehringer Ingelheim (Portugal) (PT), Centre for Health Technology and Services Research (PT), Boehringer Ingelheim (France) (FR), Centro Hospitalar de Vila Nova de Gaia (PT), Estrutura de Missão para a Extensão da Plataforma Continental (PT), Centre d'Investigation Clinique Pierre Drouin (FR), Hospital de Santa Marta (PT), Hospital Garcia de Orta (PT), Hospital de Santa Maria (PT), Instituto do Coração (PT), Lusíada University of Porto (PT), Centro Hospitalar do Porto (PT), Institute of Biomedical Science (GB), Hospital do Desterro (PT), Instituto Multidisciplinario de Biología Celular (AR), French Clinical Research Infrastructure Network (FR), Défaillance Cardiovasculaire Aiguë et Chronique, Hospital CUF Descobertas, Hospital das Forças Armadas, University of Coimbra (PT), Universidade Nova de Lisboa (PT)
Bristol-Myers Squibb, Eli Lilly and Company, Pfizer, AstraZeneca, Sanofi, Cytokinetics, Daiichi-Sankyo, Novo Nordisk, Vifor Pharma, Servier
Good health and well-being
Openalex Percentile: Top 22%
Heart Failure Treatment and Management
1.39
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