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Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
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Specialty-Based Variability in Diagnosing and Managing Heart Failure With Preserved Ejection Fraction
David T Saxon1, Peter J Kennel2, Heidi M Guyer3
1Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
Mayo Clinic Proceedings
|April 6, 2020
Summary
Cardiologists and non-cardiologists differ in diagnosing and treating heart failure with preserved ejection fraction (HFpEF). Disseminating HFpEF guidelines to non-cardiologists is crucial for improving patient outcomes.
Area of Science:
- Cardiology
- Internal Medicine
- Clinical Practice Guidelines
Background:
- Heart failure with preserved ejection fraction (HFpEF) is increasingly recognized, yet its diagnosis and management present challenges.
- Non-cardiologists frequently manage HFpEF but may lack awareness of specific diagnostic criteria and treatment recommendations.
Purpose of the Study:
- To compare the diagnostic and treatment practices for HFpEF between cardiologists and non-cardiologists.
- To identify disparities in HFpEF management and inform educational strategies.
Main Methods:
- Anonymous surveys were administered to cardiologists and non-cardiologists at two major academic medical centers.
- Survey data on HFpEF diagnosis and treatment were collected and compared using statistical analysis (χ²).
Main Results:
- Non-cardiologists were less aware of HFpEF diagnostic guidelines and less likely to prescribe aldosterone antagonists compared to cardiologists.
- Non-cardiologists were more likely to refer patients with reduced ejection fraction heart failure (HFrEF) than HFpEF to cardiology.
- Discussions of prognosis and goals of care were less frequent for HFpEF patients compared to HFrEF patients among non-cardiologists.
Conclusions:
- Significant variations exist in HFpEF diagnosis and treatment between cardiologists and non-cardiologists.
- Educational initiatives emphasizing HFpEF guidelines and the associated morbidity/mortality are essential for non-cardiologist providers.
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