Clinical course and therapy optimization of patients after discharge from a specialized heart failure clinic
Junjing Su1, Anders Barasa1, Charlotte Andersson2
1Department of Medicine, Section of Cardiology, Glostrup Hospital, Glostrup 2600, Copenhagen, Denmark.
Insights
Many heart failure with reduced ejection fraction (HFrEF) patients require ongoing care after discharge from heart failure clinics (HFC). Re-referral is common, and persistent HFrEF necessitates further treatment optimization.
Area of Science:
- Cardiology
- Heart Failure Management
Background:
- Heart failure with reduced ejection fraction (HFrEF) is a significant clinical challenge.
- Effective post-discharge management is crucial for patients with HFrEF.
Conclusions:
- A significant proportion of HFrEF patients experience persistent disease post-discharge.
- Identifying high-risk patients is essential for optimizing care and outcomes.
- Extended management within HFC may benefit selected high-risk HFrEF patients.
Abstract:
Aim: We aimed to describe the clinical course of patients with heart failure with reduced ejection fraction (HFrEF) after discharge from the heart failure clinics (HFC). Patients & methods: We reviewed the hospital's records of 610 patients that were discharged between 2013 and 2018 from the HFC at a single centre. Patients with no recurrent contact to ambulatory cardiac care were invited to an echocardiographic assessment. Results: Of the survivors, 72% were re-referred after discharge. Nearly 30% of the patients with no recurrent contact with ambulatory cardiac care had persistent HFrEF and further therapeutical optimizations were indicated in half of them. Conclusion: This highlights the importance to identify high-risk patients that would benefit from extended management in the HFC.
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