TY - JOUR
T1 - A Portuguese expert panel position paper on the management of heart failure with preserved ejection fraction – Part II
T2 - Unmet needs and organization of care in Portugal
AU - Silva-Cardoso, José
AU - Moreira, Emília
AU - Tavares de Melo, Rachel
AU - Moraes-Sarmento, Pedro
AU - Cardim, Nuno
AU - Oliveira, Mário
AU - Gavina, Cristina
AU - Moura, Brenda
AU - Araújo, Inês
AU - Santos, Paulo
AU - Peres, Marisa
AU - Fonseca, Cândida
AU - Pedro Ferreira, João
AU - Marques, Irene
AU - Andrade, Aurora
AU - Baptista, Rui
AU - Brito, Dulce
AU - Cernadas, Rui
AU - dos Santos, Jonathan
AU - Leite-Moreira, Adelino
AU - Gonçalves, Lino
AU - Ferreira, Jorge
AU - Aguiar, Carlos
AU - Fonseca, Manuela
AU - Fontes-Carvalho, Ricardo
AU - Franco, Fátima
AU - Lourenço, Carolina
AU - Martins, Elisabete
AU - Pereira, Hélder
AU - Santos, Mário
AU - Pimenta, Joana
N1 - Funding Information:
Ana Santos of Prime Focus provided medical writing, editorial support, and formatting assistance, which was contracted and funded by Boehringer Ingelheim and Lilly Portugal.
Publisher Copyright:
© 2025
PY - 2025/5
Y1 - 2025/5
N2 - 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.
AB - 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.
KW - Diagnosis
KW - Follow-up
KW - Heart failure
KW - Heart failure with preserved ejection fraction
KW - HFpEF
KW - Organization of care
KW - Referral
KW - Roadmap
KW - Screening
KW - Treatment
UR - http://www.scopus.com/inward/record.url?scp=105001829950&partnerID=8YFLogxK
U2 - 10.1016/j.repc.2024.12.004
DO - 10.1016/j.repc.2024.12.004
M3 - Article
AN - SCOPUS:105001829950
SN - 0870-2551
VL - 44
SP - 291
EP - 302
JO - Revista Portuguesa de Cardiologia
JF - Revista Portuguesa de Cardiologia
IS - 5
ER -