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Updated: Jul 10, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
Patients' drawings illustrate psychological and functional status in heart failure
Lisa Reynolds1, Elizabeth Broadbent, Chris J Ellis
1Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
Insights
Heart failure patients
Area of Science:
- Cardiology
- Psychology
- Medical Illustration
Background:
- Heart failure (HF) is a complex condition impacting patients psychologically and physically.
- Understanding patient perceptions of illness is crucial for effective management.
- Traditional assessment methods may not fully capture subjective patient experiences.
Purpose of the Study:
- To investigate the association between heart drawings by heart failure patients and their psychological, functional, and clinical status.
- To explore heart drawings as a novel tool for assessing patient well-being in heart failure.
Main Methods:
- Sixty patients diagnosed with heart failure participated.
- Participants completed questionnaires assessing psychological functioning and illness perceptions.
- A heart drawing task was incorporated to visualize patients' self-perceived heart status.
Main Results:
- Heart drawings were significantly larger (height, area) when depicting the heart with failure compared to before.
- Increased heart-specific anxiety correlated with larger drawing dimensions.
- Patients depicting heart damage reported higher depression and negative illness beliefs.
- Drawings showed significant correlations with clinical markers like B-type natriuretic peptide and sodium levels.
Conclusions:
- Heart drawings reflect significant psychological and clinical aspects of heart failure.
- This innovative method provides insight into patients' illness perceptions and personal models of heart failure.
- Visual representations like heart drawings can complement traditional assessments in heart failure care.
Objective:
The aim of this study was to evaluate whether the heart drawings of patients with heart failure are associated with their psychological, functional, and clinical status.
Methods:
Sixty patients with heart failure completed a written questionnaire that included a heart drawing task, measures of psychological functioning, and illness perceptions.
Results:
Patients drew their heart significantly bigger in height when they depicted their heart with failure as compared with how they depicted their heart before their heart failure. Greater levels of heart-specific anxiety were associated with significantly larger drawings as measured by height and overall area. Compared with those who drew no damage, patients who drew damage had significantly higher levels of depression and more negative beliefs about their illness. Drawings also had a significant relationship with the clinical markers of illness severity, B-type natriuretic peptide level, and sodium level.
Conclusions:
Heart drawings of patients with heart failure are associated with important psychological and clinical indicators of health status. Drawings offer an innovative way to understand patients' perceptions of illness and personal models of heart failure.
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