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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Article info
Publication history
Published online: January 27, 2014
Accepted:
September 22,
2013
Received:
September 5,
2013
Footnotes
See article by Howlett, pages 276-280 of this issue.
See page 274 for disclosure information.
Identification
Copyright
© 2014 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
