Author(s):
Silva-Cardoso, José ; Moreira, Emília ; Tavares de Melo, Rachel ; Moraes-Sarmento, Pedro ; Cardim, Nuno ; Oliveira, Mário ; Gavina, Cristina ; Moura, Brenda ; Araújo, Inês ; Santos, Paulo ; Peres, Marisa ; Fonseca, Cândida ; Pedro Ferreira, João ; Marques, Irene ; Andrade, Aurora ; Baptista, Rui ; Brito, Dulce ; Cernadas, Rui ; Dos Santos, Jonathan ; Leite-Moreira, Adelino ; Gonçalves, Lino ; Ferreira, Jorge ; Aguiar, Carlos ; Fonseca, Manuela ; Fontes-Carvalho, Ricardo ; Franco, Fátima ; Lourenço, Carolina ; Martins, Elisabete ; Pereira, Hélder ; Santos, Mário ; Pimenta, Joana
Date: 2025
Persistent ID: http://hdl.handle.net/10400.17/5177
Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
Subject(s): Critical Pathways; Disease Management*; Health Services Needs and Demand; Heart Failure; Diastolic* / diagnosis; Diastolic* / therapy; Humans; Portugal; Roadmap; HFpEF; HSM CAR
Description
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.
