Key result
Specialized HF care is linked to ~80% 3-year survival versus regional centers.
Why the study?
Management strategies and outcomes in patients with chronic heart failure with reduced LV ejection fraction differ depending on specialist versus general cardiologist or physician care in real-life clinical practice.
Does management by heart failure specialists improve survival and reduce rehospitalizations in patients with HFrEF compared to general cardiologists or physicians?
Observational (n=390)
Yes
Does management by heart failure specialists improve survival and reduce rehospitalizations in patients with HFrEF compared to general cardiologists or physicians?
Absolute Event Rate: 80% vs 78%
p-value: p=>0.05
Management of HFrEF patients by specialized heart failure departments is associated with more aggressive guideline-directed medical therapy and improved survival compared to regional center management.
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HF specialist care was associated with better therapy use and outcomes in this cohort; leaves open whether dedicated management improves survival in broader HFrEF populations.
Sitnikova et al. (2018) conducted an observational in Chronic heart failure with reduced LV ejection fraction (n=390). Management by a specialist in heart failure vs. Management by general cardiologists or physicians was evaluated on Survival rate at three years (p=>0.05). Management of heart failure patients by specialized HF departments or federal centers was associated with higher 3-year survival (80% and 78%) compared to regional centers (52%).
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