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Canadian Journal of Cardiology

Heart Failure Clinics Are Still Useful (More Than Ever?)

  • Tiny Jaarsma
    Correspondence
    Corresponding author: Dr Tiny Jaarsma, University of Linköping, Department of Social and Welfare Studies, Faculty of Health Sciences, 58183 Linköping, Sweden.
    Affiliations
    Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Linköping, Sweden
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  • Anna Strömberg
    Affiliations
    Department of Medicine and Health Sciences, Division of Nursing, Faculty of Health Sciences, Linköping University, Linköping, Sweden

    Department of Cardiology UHL, County Council of Östergötland, Linköping, Sweden
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Published:January 27, 2014DOI:https://doi.org/10.1016/j.cjca.2013.09.022

      Abstract

      Heart failure (HF) clinics have had an important role in optimal HF management and the effectiveness of these clinics has been studied intensively. A HF clinic is one of the various ways to organize a HF disease management program. There is good evidence that HF disease management can improve outcomes in HF patients, but it is not clear what the optimal components of these programs are and what the relative effectiveness of a HF clinic is compared with other forms of HF management. After initial positive reports on the effect of HF clinics, these clinics were implemented in many countries, although in different formats and of varying quality. In this article we describe the initial need for HF clinics, reflect on their development over time, and discuss the role of HF clinics in context of the current need for HF disease management.

      Résumé

      Les cliniques d’insuffisance cardiaque (IC) ont joué un rôle important dans la prise en charge optimale de l’IC, et l’efficacité de ces cliniques a été étudiée de manière approfondie. Une clinique d’IC est l’une des diverses façons d’organiser un programme de prise en charge de l’IC. Des données fiables attestent que la prise en charge de l’IC peut améliorer les résultats chez les patients ayant une IC, mais on ne sait pas clairement ce que sont les composantes optimales de ces programmes et ce qu’est l’efficacité relative d’une clinique d’IC comparativement à d’autres formes de prise en charge de l’IC. Après les rapports initiaux positifs sur l’effet des cliniques d’IC, ces cliniques ont été mises en place dans plusieurs pays, quoiqu’elles soient de formes diverses et de qualité variable. Dans cet article, nous décrivons les besoins initiaux concernant les cliniques d’IC, réfléchissons à leur développement futur et discutons de leur rôle dans le contexte des besoins actuels de prise en charge de l’IC.
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