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

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

doi:10.1016/j.repc.2024.12.004

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

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

^*Corresponding author for this work

Católica Medical School

Research output: Contribution to journal › Article › peer-review

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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.

Translated title of the contribution	Gestão da ICFEp: um artigo de posicionamento de peritos portugueses – parte II: lacunas e proposta de organização dos cuidados em Portugal
Original language	English
Pages (from-to)	291-302
Number of pages	12
Journal	Revista Portuguesa de Cardiologia
Volume	44
Issue number	5
DOIs	https://doi.org/10.1016/j.repc.2024.12.004
Publication status	Published - 1 May 2025

Keywords

Diagnosis
Follow-up
Heart failure
Heart failure with preserved ejection fraction
HFpEF
Organization of care
Referral
Roadmap
Screening
Treatment

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Silva-Cardoso, J., Moreira, E., Melo, R. T. D., Moraes-Sarmento, P., Cardim, N., Oliveira, M., Gavina, C., Moura, B., Araújo, I., Santos, P., Peres, M., Fonseca, C., Ferreira, J. P., Marques, I., Andrade, A., Baptista, R., Brito, D., Cernadas, R., Santos, J. D., ... Pimenta, J. (2025). 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. Revista Portuguesa de Cardiologia, 44(5), 291-302. https://doi.org/10.1016/j.repc.2024.12.004

@article{328ea3fc77b34e6289e4f8bea25f48ad,

title = "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",

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.",

keywords = "Diagnosis, Follow-up, Heart failure, Heart failure with preserved ejection fraction, HFpEF, Organization of care, Referral, Roadmap, Screening, Treatment, Insufici{\^e}ncia card{\'i}aca, Insufici{\^e}ncia card{\'i}aca com fra{\c c}{\~a}o de eje{\c c}{\~a}o preservada, ICEp, Organiza{\c c}{\~a}o de cuidados, Roadmap, Rastreio, Diagn{\'o}stico, Referencia{\c c}{\~a}o, Seguimento, Tratamento",

author = "Jos{\'e} Silva-Cardoso and Em{\'i}lia Moreira and Melo, {Rachel Tavares de} and Pedro Moraes-Sarmento and Nuno Cardim and M{\'a}rio Oliveira and Cristina Gavina and Brenda Moura and In{\^e}s Ara{\'u}jo and Paulo Santos and Marisa Peres and C{\^a}ndida Fonseca and Ferreira, {Jo{\~a}o Pedro} and Irene Marques and Aurora Andrade and Rui Baptista and Dulce Brito and Rui Cernadas and Santos, {Jonathan dos} and Adelino Leite-Moreira and Lino Gon{\c c}alves and Jorge Ferreira and Carlos Aguiar and Manuela Fonseca and Ricardo Fontes-Carvalho and F{\'a}tima Franco and Carolina Louren{\c c}o and Elisabete Martins and H{\'e}lder Pereira and M{\'a}rio Santos and Joana Pimenta",

note = "Publisher Copyright: {\textcopyright} 2025",

year = "2025",

month = may,

day = "1",

doi = "10.1016/j.repc.2024.12.004",

language = "English",

volume = "44",

pages = "291--302",

journal = "Revista Portuguesa de Cardiologia",

issn = "0870-2551",

publisher = "Sociedade Portuguesa De Cardiologia",

number = "5",

}

Silva-Cardoso, J, Moreira, E, Melo, RTD, Moraes-Sarmento, P, Cardim, N, Oliveira, M, Gavina, C, Moura, B, Araújo, I, Santos, P, Peres, M, Fonseca, C, Ferreira, JP, Marques, I, Andrade, A, Baptista, R, Brito, D, Cernadas, R, Santos, JD, Leite-Moreira, A, Gonçalves, L, Ferreira, J, Aguiar, C, Fonseca, M, Fontes-Carvalho, R, Franco, F, Lourenço, C, Martins, E, Pereira, H, Santos, M & Pimenta, J 2025, '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', Revista Portuguesa de Cardiologia, vol. 44, no. 5, pp. 291-302. https://doi.org/10.1016/j.repc.2024.12.004

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. / Silva-Cardoso, José; Moreira, Emília; Melo, Rachel Tavares de et al.
In: Revista Portuguesa de Cardiologia, Vol. 44, No. 5, 01.05.2025, p. 291-302.

Research output: Contribution to journal › Article › peer-review

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 - Melo, Rachel Tavares de

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 - Ferreira, João Pedro

AU - Marques, Irene

AU - Andrade, Aurora

AU - Baptista, Rui

AU - Brito, Dulce

AU - Cernadas, Rui

AU - Santos, Jonathan dos

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

PY - 2025/5/1

Y1 - 2025/5/1

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

KW - Insuficiência cardíaca

KW - Insuficiência cardíaca com fração de ejeção preservada

KW - ICEp

KW - Organização de cuidados

KW - Roadmap

KW - Rastreio

KW - Diagnóstico

KW - Referenciação

KW - Seguimento

KW - Tratamento

UR - http://www.scopus.com/inward/record.url?scp=105003145032&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 -

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

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Keywords

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