Diagnosing and managing patients with heart failure with preserved ejection fraction: a consensus survey DOI Creative Commons
Rosalynn Austin, Eva Khair, Thomas Blakeman

et al.

BMJ Open, Journal Year: 2024, Volume and Issue: 14(12), P. e092993 - e092993

Published: Dec. 1, 2024

As heart failure (HF) with preserved ejection fraction (HFpEF) prevalence increases, it remains frequently underdiagnosed and poorly managed. Recent positive pharmacological trials have increased interest in HFpEF but challenges of diagnosis management remain. The survey aim was to examine consensus between primary secondary care providers regarding management. part a larger programme work, questions were developed an online format piloted healthcare (HCPs). link distributed via professional networks social media. Analysis included frequencies responses, comparison by main groups thematic analysis free-text responses. A virtual workshop HCPs conducted discuss refine findings. (n=66) across the UK participated: 19 general practitioners (GPs), 20 HF specialist nurses (HFSN), 17 cardiologists 10 others. Consensus high (92%) that diagnosing type very important most favoured inclusion Quality Outcome Framework indicators. No clear reached ongoing should be (47.5% GPs, 35% HFSN 31.3% 'somewhat agreed'). Opinions differed GPs (52.3)% specialists (HFSN 80% 81.3%) for practice upskilled assume reported any level disagreement HFpEF. Free-text comments highlighted resource barriers confirmed need develop better services. importance HFpEF, agreement on methods responsibilities varied. identified concerns related overwhelmed services lack sufficient resources meet existing patient demands. Creation collaborative pathways is needed support increasing number older patients ClinicalTrials. gov (reference number: NCT03617848).

Language: Английский

Surgically based therapies in heart failure: implications for patients and nursing practice DOI Creative Commons
Sara Tavares, N Caples,

Mairead Lehane

et al.

European Journal of Cardiovascular Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 2, 2025

Language: Английский

Citations

0
Describing the use of remote dielectric sensing and handheld ultrasound in assessing lung congestion in heart failure patients within a primary care setting DOI Creative Commons
Naoko Kato, Marie Mattisson, Patrik Grahn

et al.

European Journal of Cardiovascular Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 3, 2025

Abstract Thorough consideration of user experiences and the weighing advantages disadvantages are essential when implementing new technology in clinical practice. This article describes a primary care nurse’s experience using two technologies to monitor lung congestion six patient cases: remote dielectric sensing device for non-invasive fluid measurement portable handheld ultrasound device. Both can support decision-making assessing heart failure patients. However, technical difficulties interpretational complexities inherent their use. Balancing these finding effective strategies address challenges is crucial successful implementation.

Language: Английский

Citations

0
The expanding role of heart failure nurses: A call for harmonized standards across Europe DOI Open Access
Stefan Störk,

Gabriele Hartner,

Claire Lawson

et al.

European Journal of Heart Failure, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 20, 2025

Language: Английский

Citations

0
An international modified Delphi consensus study on the optimal diagnosis and treatment of patients with HFpEF DOI Creative Commons
Andrew Sindone, Magdy Abdelhamid, Wael Almahmeed

et al.

Current Medical Research and Opinion, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 17

Published: March 18, 2025

Objective The global burden of HFpEF is high and, despite developments in available therapies, patient outcomes have not improved significantly. This study aimed to explore the optimal approaches diagnosis and treatment patients with develop recommendations on how guideline directed medical therapy can be introduced a more equitable universal manner.

Language: Английский

Citations

0
Examining the clinical role and educational preparation of heart failure nurses across Europe. A survey of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) and the Association of Cardiovascular Nursing and Allied Professions (ACNAP) of the ESC DOI Creative Commons
Loreena Hill, Nicolas Girerd, Teresa Castiello

et al.

European Journal of Heart Failure, Journal Year: 2024, Volume and Issue: unknown

Published: Nov. 8, 2024

To describe the clinical practice and educational preparation of heart failure (HF) nurses across Europe determine key differences between countries.

Language: Английский

Citations

3
Determining the Key Education Priorities Related to Heart Failure Care in Nursing Homes: A Modified Delphi Approach DOI Open Access
James McMahon, David R. Thompson, Christine Brown Wilson

et al.

Healthcare, Journal Year: 2024, Volume and Issue: 12(15), P. 1546 - 1546

Published: Aug. 5, 2024

There is currently a limited understanding of what nurses in nursing homes view as the key education priorities to support their ability provide appropriate care for residents with heart failure (HF). A modified Delphi technique was utilized gain consensus on working Northern Ireland. An initial list items (n = 58), across 19 domains, generated using findings scoping review and stakeholder interviews, available clinical guidelines. Two rounds surveys were undertaken. Items presented 5-point Likert scale, an additional exercise second round rank domains order importance. Fifty-four participants completed first-round survey 34 (63%) returned complete second. The highlight importance providing home settings general HF delivery person-centered care. Participants perceived around technology management quality improvement or research methodologies associated lower priorities. This study illuminates from regarding that are applicable this setting.

Language: Английский

Citations

0
Successful use of point-of-care ultrasound for an elderly patient with heart failure in a primary care setting: a case report DOI Creative Commons
Naoko Kato,

Josefine Svantesson,

Peter Johansson

et al.

European Heart Journal - Case Reports, Journal Year: 2024, Volume and Issue: 8(10)

Published: Sept. 13, 2024

Appropriate assessment of fluid status patients with heart failure (HF) is challenging in outpatient settings, e.g. primary care, especially among elderly HF multiple comorbidities. The use handheld ultrasound devices for point-of-care (POCUS) has increased.

Language: Английский

Citations

0
A Multi-Specialty Delphi Consensus on Assessing and Managing Cardiopulmonary Risk in Patients with COPD DOI Creative Commons
Mohit Bhutani, Jean Bourbeau, Shaun G. Goodman

et al.

International Journal of COPD, Journal Year: 2024, Volume and Issue: Volume 19, P. 2051 - 2062

Published: Sept. 1, 2024

In Canada, COPD represents a significant burden to the patient and health system, as it is often under or misdiagnosed sub-optimally treated. Cardiovascular disease (CVD) common co-morbidity in there interplay between these two chronic conditions. Across all stages of severity, deaths can be attributed not only respiratory causes but also cardiovascular-related factors. The established links CVD suggest need for greater degree collaboration respirologists cardiologists. This modified Delphi consensus was initiated consider how optimal care delivered within with specific consideration reducing cardiopulmonary risk outcomes patients.

Language: Английский

Citations

0
Diagnosing and managing patients with heart failure with preserved ejection fraction: a consensus survey DOI Creative Commons
Rosalynn Austin, Eva Khair, Thomas Blakeman

et al.

BMJ Open, Journal Year: 2024, Volume and Issue: 14(12), P. e092993 - e092993

Published: Dec. 1, 2024

As heart failure (HF) with preserved ejection fraction (HFpEF) prevalence increases, it remains frequently underdiagnosed and poorly managed. Recent positive pharmacological trials have increased interest in HFpEF but challenges of diagnosis management remain. The survey aim was to examine consensus between primary secondary care providers regarding management. part a larger programme work, questions were developed an online format piloted healthcare (HCPs). link distributed via professional networks social media. Analysis included frequencies responses, comparison by main groups thematic analysis free-text responses. A virtual workshop HCPs conducted discuss refine findings. (n=66) across the UK participated: 19 general practitioners (GPs), 20 HF specialist nurses (HFSN), 17 cardiologists 10 others. Consensus high (92%) that diagnosing type very important most favoured inclusion Quality Outcome Framework indicators. No clear reached ongoing should be (47.5% GPs, 35% HFSN 31.3% 'somewhat agreed'). Opinions differed GPs (52.3)% specialists (HFSN 80% 81.3%) for practice upskilled assume reported any level disagreement HFpEF. Free-text comments highlighted resource barriers confirmed need develop better services. importance HFpEF, agreement on methods responsibilities varied. identified concerns related overwhelmed services lack sufficient resources meet existing patient demands. Creation collaborative pathways is needed support increasing number older patients ClinicalTrials. gov (reference number: NCT03617848).

Language: Английский

Citations

0