How to develop a national heart failure clinics network: a consensus document of the Hellenic Heart Failure Association

Filippatos, Gerasimos; Farmakis, Dimitrios; Alexanian, Ioannis; Bistola, Vasiliki; Chrysοhoou, Christina; Fountoulaki, Katerina; Giamouzis, Grigorios; Karatzas, Dimitrios; Karavidas, Apostolos; Keramida, Kalliopi; Lambrinou, Ekaterini; Naka, Katerina K.; Nanas, John N.; Nikolaou, Chrysoula; Nikolaou, Maria; Ntalianis, Argyrios; Papadopoulos, Costas; Sideris, Antonis; Xydonas, Sotirios; Trikas, Athanasios; Parissis, John; Triposkiadis, Filippos; Adamopoulos, S.; Adamopoulos, Chris; Almpanis, Georgios; Ampoushamala, Alaa; Anadiotis, Athanasios; Andreanides, Elias; Apostolou, E.; Avgeropoulou, Katerina; Bakaimi, Soultana; Bakogiannis, Constantinos; Bakosis, Georgios; Bonios, Michael; Bonou, Μaria; Bousoula, Eleni; Brika, Polixeni; Chamodraka, E.; Christodoulou, John; Chrysos, Dimitrios; Douras, Alexandros; Draganigos, Antonios; Driva, Metaxia; Drosos, Dimosthenis; Floros, Sotirios; Frogoudaki, Alexandra; Gavrielatos, Gerasimos; Georgopoulou, Maria; Giakoumakis, Tsampikos; Gialafos, Elias; Giannakoulas, George; Giannaris, Vassilios; Gkouziouta, A.; Hahalis, George; Kalogiannis, Georgios; Kalpakos, Dionysios; Kampouridis, Nikolaos; Kanonidis, Ioannis; Karamichalakis, Nikolaos; Karapatsoudi, Eleni; Karounis, Demitrios; Karvounis, Charalampos; Katranis, Alexandros; Katsanou, Kontantina; Katsikas, Christos; Katsimagklis, Georgios; Kikas, Petros; Kitsiou, Anastasia; Kogias, I.; Konstantinou, Dimitrios; Kosmopoulou, Stauroula; Kostakou, Peggy; Koudounis, Panagiotis; Kouris, Nikos T.; Kouvelas, Nikolaos; Kranidis, Athanasios; Kyrlas, Konstantinos; Lamprogiannakis, E; Lampropoulos, Stylianos; Lazaris, Evangelos; Leontiadis, Evangelos; Manginas, Athanasios; Mantas, Ioannis; Maragkoudakis, Spyridon; Marketou, Maria; Marsonis, Antonios; Matzaraki, Vasiliki; Mpaka, Niki; Naoum, P.; Nikitas, Georgios; Ntoliou, Paraskevi; Oikonomou, Grigorios; Olympios, Christoforos; Panagopoulou, Vasiliki; Papaioannou, Spyridon; Παπαϊωάννου, Θεόδωρος; Papamentzelopoulos, Spyridon; Papingiotis, Georgios; Pappas, Minas; Paraskevaidis, Ioannis; Parthenakis, Fragkiskos; Patsilinakos, Sotirios; Pisimisis, E; Polymeropoulos, Konstantinos; Sassalos, Konstantinos; Sdogkos, Evangelos; Siasos, Gerasimos; Sichlimiris, Ilias; Sifaki, Maria; Siniorakis, Eftychios; Spanos, A.; Spyromitros, Georgios; Spyropoulos, Georgios; Stafylas, Panagiotis; Stavrati, Alexia; Stougiannos, Pavlos; Stravopodis, Petros; Syros, Periklis; Theodosis‐Georgilas, Anastasios; Theofilogiannakos, Efstratios K.; Thireos, Elefthereos; Thodi, Maria; Toli, Konstantina; Tsinopoulos, Georgios; Tsioufis, Κonstantinos; Tsitlakidis, Konstantinos; Tsougos, Elias; Tsounos, Ioannis; Tziakas, Dimitrios; Vasilopoulos, Athanasios; Vassilikos, Vassilios; Vlasopoulou, Niki; Voutas, Petros; Xydas, T.; Zarifis, John; Zitiridou, Lina

doi:10.1002/ehf2.12558

Cited by 10 publications

(4 citation statements)

References 46 publications

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“…Establishing a French heart failure clinical network, such as those already existing in other European countries or in the USA may increase patients' and care givers' visibility and may help to improve early AHF patient care and to network between GPs, cardiologists and hospitals. 25 , 26 , 27 , 28 Several health care programs, such as PRADO, have been developed in France to improve AHF patient care after discharge from hospital. 29 Another program involves registered nurses as key actors for identifying HF patients, informing them about their pathology, and carrying out remote monitoring, while networking with other health care professionals.…”

Section: Discussionmentioning

confidence: 99%

First symptoms and health care pathways in hospitalized patients with acute heart failure: ICPS2 survey. A report from the Heart Failure Working Group (GICC) of the French Society of Cardiology

Beauvais

Tartière

Pezel

et al. 2021

Clinical Cardiology

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Background Acute heart failure (AHF) is a common serious condition that contributes to about 5% of all emergency hospital admissions in Europe. Hypothesis To assess the type and chronology of the first AHF symptoms before hospitalization and to examine the French healthcare system pathways before, during and after hospitalization. Material and Methods A retrospective observational study including patients hospitalized for AHF Results 793 patients were included, 59.0% were men, 45.6% identified heart failure (HF) as the main cause of hospitalization; 36.0% were unaware of their HF. Mean age was 72.9 ± 14.5 years. The symptoms occurring the most before hospitalization were dyspnea (64.7%) and lower limb edema (27.7%). Prior to hospitalization, 47% had already experienced symptoms for 15 days; 32% of them for 2 months. Referral to hospital was made by the emergency medical assistance service (SAMU, 41.6%), a general practitioner (GP, 22.3%), a cardiologist (19.5%), or the patient (16.6%). The modality of referral depended more on symptom acuteness than on type of symptoms. A sudden onset of AHF symptoms led to making an emergency call or to spontaneously attending an emergency room (ER), whereas cardiologists were consulted when symptoms had already been present for over 15 days. Cardiologists referred more patients to cardiology departments and fewer patients to the ER than general practitioners or the SAMU. Conclusion This study described the French healthcare system pathways before, during and after hospitalization AHF. AHF clinic network should be developed to provide adequate care for all HF patients and create awareness regarding AHF symptoms.

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Section: Discussionmentioning

confidence: 99%

First symptoms and health care pathways in hospitalized patients with acute heart failure: ICPS2 survey. A report from the Heart Failure Working Group (GICC) of the French Society of Cardiology

Beauvais

Tartière

Pezel

et al. 2021

Clinical Cardiology

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“…Each visit record should specify clinical data, laboratory investigations, drug therapy, inpatient interventions, medical instructions or prescriptions including medications, referrals, or further laboratory investigations required, and next appointment date and time. 40…”

Section: Electronic Medical Recordsmentioning

confidence: 99%

Current status of outpatient heart failure management in Egypt and recommendations for the future

Hassanein,

Tageldien,

Badran

et al. 2023

ESC Heart Failure

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Heart failure (HF) represents one of the greatest healthcare burdens worldwide, and Egypt is no exception. HF healthcare programmes in Egypt still require further optimization to enhance diagnosis and management of the disease. Development of specialized HF clinics (HFCs) and their incorporation in the healthcare system is expected to reduce HF hospitalization and mortality rates and improve quality of care in Egypt. We conducted a literature search on PubMed on the requirements and essential infrastructure of HFCs. Retrieved articles deemed relevant were discussed by a panel of 10 expert cardiologists from Egypt and a basic HFC model for the Egyptian settings was proposed. A multidisciplinary team managing the HFC should essentially be composed of specialized HF cardiologists and nurses, clinical pharmacists, registered nutritionists, physiotherapists, and psychologists. Other clinical specialists should be included according to patients' needs and size and structure of individual clinics. HFCs should receive patients referred from primary care settings, emergency care units, and physicians from different specialties. A basic HFC should have the following fundamental investigations available: resting electrocardiogram, basic transthoracic echocardiogram, and testing for N‐terminal pro‐B‐type natriuretic peptide. Fundamental patients' functional assessments are assessing the New York Heart Association functional classification and quality of life and conducting the 6 min walking test. guideline‐directed medical therapy should be implemented, and device therapy should be utilized when available. In the first visit, once HF is diagnosed and co‐morbidities assessed, guideline‐directed medical therapy should be started immediately. Comprehensive patient education sessions should be delivered by HF nurses or clinical pharmacists. The follow‐up visit should be scheduled during the initial visit rather than over the phone, and time from the initial visit to the first follow‐up visit should be determined based on the patient's health status and needs. Home and virtual visits are only recommended in limited and emergency situations. In this paper, we provide a practical and detailed review on the essential components of HFCs and propose a preliminary model of HFCs as part of a comprehensive HF programme model in Egypt. We believe that other low‐to‐middle income countries could also benefit from our proposed model.

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“…The development, infrastructure, and challenges related to cardio-oncology clinics in Greece are described in the following published manuscript ‘Taskforce of the Hellenic Heart Failure Clinics Network’ [ 14 ].…”

Section: Cardio-oncology Team Membersmentioning

confidence: 99%

Practical Approaches to Build and Sustain a Cardio-Oncology Clinic

Chasouraki

Kourek

Sianis

et al. 2022

JCDD

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The therapeutical advances in recent years in the field of oncology treatment have increased survival rates and improved the quality of life of oncology patients, thus turning cancer into a chronic disease. However, most of the new cancer treatments come at the expense of serious cardiovascular adverse events threatening the success story of these patients. The establishment of multidisciplinary medical teams to prevent, monitor, and treat cardiovascular diseases in cancer-treated patients is needed now more than ever. The aim of this narrative review is to demonstrate the existing knowledge and practical approaches on how to establish and maintain a cardio-oncology program for the rising number of patients who need it.

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How to develop a national heart failure clinics network: a consensus document of the Hellenic Heart Failure Association

Cited by 10 publications

References 46 publications

First symptoms and health care pathways in hospitalized patients with acute heart failure: ICPS2 survey. A report from the Heart Failure Working Group (GICC) of the French Society of Cardiology

First symptoms and health care pathways in hospitalized patients with acute heart failure: ICPS2 survey. A report from the Heart Failure Working Group (GICC) of the French Society of Cardiology

Current status of outpatient heart failure management in Egypt and recommendations for the future

Practical Approaches to Build and Sustain a Cardio-Oncology Clinic

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