End Stage Heart Failure - Queensland Health
End Stage Heart Failure
Robyn Peters NP PAH HFS
27/10/2016
Heart Failure
Chronic, progressive disease ? major contributor to morbidity and mortality world-wide1
Most common cause of admissions in those >65 years1
QOL often worse than those with other chronic disease2
Cluster of symptoms and debilitation which worsens with each hospitalisation3
38% die within 1 year of diagnosis and 60% die within 5 years4
1. Stewart et al. 2010 Population impact of heart failure and the most common forms of cancer. Circ cardiovasc qual outcomes 2. Jaarsma et al. 2010 Quality of life and symptoms of depression in advanced heart failure patients and their partners. Curr Opin Support Palliat Care 3. Setoguchi et al. 2007 Repeated hospitalisations predict mortality in the community population with heart failure. Am Heart J 4. NHS information Centre. National Heart Failure Audit 2010
1
27/10/2016
HF Terminology based on LVEF.
HFrEF ? Heart Failure with Reduced Ejection
Fraction
EF < 50%
Clear evidence of improved morbidity and mortality
with evidence 5b0%ased therap14i%es
36%
HFpEF ? Heart Failure with Preserved Ejection
Fraction
EF > 50%
Increased filling pressures
Increased Ventricular wall thickness
Ponikowski et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal 2016
Proportion of HFrEF and HFpEF
Definite HFrEF (LVEF ................
................
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