A critical evaluation of patient pathways and missed opportunities in treatment for heart failure.
Kwok, Chun Shing Satchithananda, Duwarakan Ahmed, Fozia Z Chue, Colin D Barker, Diane Patwala, Ashish Duckett, Simon Mallen, Christian D
Kwok, Chun Shing
Satchithananda, Duwarakan
Ahmed, Fozia Z
Chue, Colin D
Barker, Diane
Patwala, Ashish
Duckett, Simon
Mallen, Christian D
Abstract
Background: Heart failure (HF) is a global problem responsible for significant morbidity and mortality.
Methods: This review describes the patient pathways and missed opportunities related to treatment for patients with HF.
Results: The contemporary management strategies in HF, including medical therapies, device therapy, transplant, and palliative care. Despite the strong evidence base for therapies that improve prognosis and symptoms, there remains a large number of patients that are not optimally managed. The treatment of patients with HF is highly influenced by those who are caring for them and varies widely across geographical regions. HF patients can be broadly classified into two key groups: those who have known HF, and those who are incidentally found to have reduced left ventricular systolic dysfunction or other cardiac abnormality when an echocardiogram is performed. While all patients are under the care of a general practitioner or family doctor, in other instances, non-cardiologist physicians, cardiologists, and specialist HF nurses-each will have varying levels of expertise in managing HF-are part of the broader team involved in the specialist management of patients with HF.
Conclusions: There are many potential missed opportunities in HF treatment, which include general opportunities, medications, etiology-specific therapy, device therapy, therapies when initial treatments fail, and palliative care.
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Date
2022-12-12
Type
Article
Subject
Cardiology
Citation
Kwok CS, Satchithananda D, Ahmed FZ, Chue CD, Barker D, Patwala A, Duckett S, Mallen CD. A Critical Evaluation of Patient Pathways and Missed Opportunities in Treatment for Heart Failure. J Cardiovasc Dev Dis. 2022 Dec 12;9(12):455. doi: 10.3390/jcdd9120455
Journal / Source Title
Journal of Cardiovascular Development and Disease
DOI
10.3390/jcdd9120455
PMID
36547452
Publisher
MDPI
Publisher’s URL
http://www.mdpi.com/journal/jcdd
https://www.ncbi.nlm.nih.gov/pmc/journals/3360/
https://www.ncbi.nlm.nih.gov/pmc/journals/3360/