Heart failure & cardiomyopathies
Missed Opportunities in Heart Failure Diagnosis and Management: Study of an Urban UK Population
Authors' conclusion
Low survival rates were observed across all HF groups, along with suboptimal rates of NP testing and specialist assessments.
Study context
- Population
- Patients diagnosed with heart failure (HF) in Salford, UK, January 2010–November 2019
- Participants
- 3,227 patients
- Exposure
- HFpEF vs HFmrEF vs HF with Reduced EF (HFrEF)
- HFpEFn = 1,505
- HFmrEFn = 520
- HFrEFn = 596
- Unassignedn = 606
- Outcome
- Crude survival
- Follow-up
- Up to 5 years
Methodological detailslinked primary and secondary care data, Mean follow-up 2.6 (±1.9 SD) years, Mean age at diagnosis 74.8 (±12.7 SD) years; 1469 (45.5%) female
- Linked primary and secondary care data
- Mean follow-up 2.6 (±1.9 SD) years
- Mean age at diagnosis 74.8 (±12.7 SD) years; 1469 (45.5%) female
Main finding
As reported in the abstract
5-year crude survival rate
Observational data: associations, not effects.
Further findings
Diagnostic and care patterns
- Natriuretic peptide (NP) measurement available at baseline
- 592 (18.3%)
- Echocardiographic report data available at baseline
- 2621 (81.2%)
- Cardiology-led outpatient clinic access prior to HF diagnosis
- 2099 (65.0%)
- Attended cardiac rehabilitation post-diagnosis
- 602 (18.7%)
Original publication
Missed Opportunities in Heart Failure Diagnosis and Management: Study of an Urban UK Population. ESC Heart Fail. Published 16 April 2024. doi:10.
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