Currently, referrals are often inconsistent and made late in the illness trajectory.2,3 Chang et al4 conducted an international Delphi study in 2021 in which an expert panel identified a set of criteria for referral of patients with advanced heart failure for SPC. However, the timeliness of ...
Heart failure (HF) refers to a complex condition resulting from the structural and/or functional inability of the heart to supply a normal cardiac output to meet metabolic needs. In HF, impaired ventricular filling or ejection of blood leads to fatigue , dyspnea , and fluid retention or edema...
Most patients present in advanced heart failure (NYHA class III and IV) [26, 40]. Diagnosis of HF in SSA is mostly based on clinical features, mostly by the Framingham criteria (in 28.6%) and European Society of Cardiology criteria (in 20%). Support facilities and services for diagnosis ...
If evidence of ischemia exists, a cardiology referral may be appropriate to consider further evaluation and treatment. Coronary angiography remains an important consideration in patients with angina, those suitable for coronary revascularization, or those with evident reversible myocardial ischemia. In instan...
This category has been largely unexplored compared with heart failure with reduced EF (HFrEF; defined as EF <40% in this Review) and heart failure with preserved EF (HFpEF; defined as EF ≥50%). The prevalence of HFmrEF within the overall population of patients with HF is 10–25%. HFm...
The decision of when to discharge a patient with ADHF from the hospital is often based on clinical judgment rather than objective criteria. Criteria that should be met before consideration of hospital discharge have been published in various practice guidelines (Box 26.3). Most patients should have...
Conventional criteria for referral for HTx are described in Box 2. Those with LVSD are more commonly referred, however HF-PEF is not excluded. Triggers for referral include poor prognostic markers – worsening HF symptoms, a significantly raised or increasing BNP, renal or liver dysfunction, risin...
HeartFailure@Home patient inclusion criteria (1)Adult patients in the community with decompensated chronic heart failure who have failed to respond to increasing doses of oral diuretic treatment (2)Inpatients with decompensated he...
Forty three per cent (105/244) of coordinators did not accept patients with heart failure to their cardiac rehabilitation services. Most coordinators who did accept patients with heart failure offered their services to patients with a variety of cardiac conditions, though referral criteria and models...
Chronic heart failure in the United States: a manifestation of coronary artery disease Circulation, 97 (1998), pp. 282-289 View in ScopusGoogle Scholar 10 Criteria Committee of the New York Heart Association Diseases of the Heart and Blood Vessels: Nomenclature and Criteria for Diagnosis (6th ed...