Article, 2023

Clinical course and therapy optimization of patients after discharge from a specialized heart failure clinic

Future Cardiology, ISSN 1744-8298, 1479-6678, Volume 19, 5, Pages 271-282, 10.2217/fca-2022-0135

Contributors

Su, Junjing (Corresponding author) [1] Barasa, Anders [1] Andersson, Charlotte [2] Abdulla, Jawdat [1]

Affiliations

  1. [1] Glostrup Hospital
  2. [NORA names: Capital Region of Denmark; Hospital; Denmark; Europe, EU; Nordic; OECD];
  3. [2] Boston Medical Center
  4. [NORA names: United States; America, North; OECD]

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.

Keywords

HFrEF, assessment, cardiac care, care, clinic, clinical course, clinical course of patients, contact, course, course of patients, discharge, echocardiographic assessment, ejection fraction, extended management, failure, fraction, heart, heart failure, heart failure clinic, high-risk patients, hospital, hospital records, management, optimization, optimization of patients, patients, persistent HFrEF, re-referral, records, reduced ejection fraction, specialized heart failure clinics, survivors, therapeutic optimization, therapy, therapy optimization

Data Provider: Digital Science