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-Moreira

Lino 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

1 Citation (Scopus)

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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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10.1016/j.repc.2024.12.004Licence: CC BY-NC-ND

117690212Final published version, 1.78 MBLicence: CC BY-NC-ND

http://hdl.handle.net/10400.14/54167Licence: CC BY-NC-ND

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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 - https://www.scopus.com/pages/publications/105001829950

U2 - 10.1016/j.repc.2024.12.004

DO - 10.1016/j.repc.2024.12.004

M3 - Article

C2 - 40057186

AN - SCOPUS:105003145032

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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