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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
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Abstract
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Impact of a Heart Failure Clinic in morbidity, mortality and quality of life.
Session:
Painel 2- Insuficiencia cardiaca 4
Speaker:
Marta Afonso Nogueira
Congress:
CPC 2020
Topic:
D. Heart Failure
Theme:
10. Chronic Heart Failure
Subtheme:
10.2 Chronic Heart Failure – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Marta Afonso Nogueira; Fernanda Costa Ferreira; Ana Filipa Raposo; Lurdes Mónica; Liliana Cruz; Madalena Guimarães; Lídia Fandinga; Carla Matias; Gonçalo Proença
Abstract
<p>Introduction: Chronic heart failure (CHF) is a syndrome with high morbidity and mortality rates, having a tremendous impact in patient’s quality of life (QoL) and in the entire health system. HF Clinics intend to cope with the complexity of the clinical management of these patients (pts), aiming to improve outcomes due to a proximity model with a systematic and multidisciplinary approach.</p> <p>Methods: Analysis of the pts prospectively followed at a HF Clinic (N = 152), including the QoL indicators (Kansas City Cardiomyopathy Questionnaire – KCCQ and European HF Self-care Behavior Scale - EHFScBS), emergency department (ER) visits, HF hospitalizations and all-cause mortality and comparing the last indicator with the previous rate before the creation of the Clinic.</p> <p>Results: After 6 months of follow-up (FU), 10% of pts improved the KCCQ score and 90% remained at the highest scores and 78% improved in the EHFScBS. Comparing the first trimester with the last one (in a period of 9 months), there was a reduction of ER visits due to HF decompensation from 23.5% to 8.7% and of HF hospitalization rate from 53% to 12.5%. After 9 months of FU, the all-cause mortality rate dropped from 18.1% to 7%.</p> <p>Conclusions: The implementation of a HF Clinic have a significant impact regarding both the QoL of the pts and the ER visits/hospitalizations and mortality rates, due to a proximity model with a systematic and multidisciplinary approach.</p>
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