• Users Online: 215
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 


 
 Table of Contents  
WORKSHOP REPORT
Year : 2018  |  Volume : 4  |  Issue : 3  |  Page : 211-213

Patient care workshop organized by heart failure association of the European Society of Cardiology


1 Heart Failure Service, CNC, AIIMS, New Delhi, India
2 Department of Cardiology, AIIMS, New Delhi, India
3 Heart Failure Program, Clinical and Preventive Cardiology, Heart Institute, Medanta the Medicity, Gurugram, Haryana, India

Date of Web Publication11-Jan-2019

Correspondence Address:
Mr. P D Subeen
Nursing Officer, Heart Failure Services, CNC, AIIMS, New Delhi
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpcs.jpcs_65_18

Rights and Permissions
  Abstract 

Introduction: The patient care workshop was organized by the heart failure (HF) association of the European Society of Cardiology (ESC) in Vilnius, Lithuania on October 26, 2018. Cardiologists, general practitioners, and nurses from nine countries were invited to the workshop. Background: HF is a complex clinical syndrome that requires a complex treatment regimen and is associated with frequent hospitalizations, poor quality of life, high morbidity and mortality. The practice of evidence-based guidelines of HF will help for continued professional development among cardiologists, practitioners, and nurses who manage HF. Program: The workshop was divided into five sessions. The sessions were focused on the following topics: (1) ESC newer guideline for diagnosis, including the BNP and echocardiography, On-going management with drug optimization and advanced therapies-ICD/CRTD/LVADs, (2) the specialist HF programs and its curriculum, (3) the importance of setting up centers with specialized experts in treating HF patients and the importance of a multidisciplinary approach to managing HF, (4) components of a HF program, (5) HF patient's health education, (6) self-care management, (7) medication adherence, (8) discharge counseling, (9) discharge planning of patient with comorbidities, (10) different approaches of home-based management at “community level” and “home visits,” (11) The role of the cardiologist, General practitioner, and Nurses within the HF team, (12) The specialized HF nurse curriculum, and (13) practical considerations for setting up an HF specialized service- money, personnel, room, specialized curriculum for training the personnel, supporting agencies, and network around the globe. Conclusion: Educational programs for cardiologists, general practitioners, and nurses may benefit HF patients and may lead to increased adherence to the clinical guidelines related to selection and optimization of drugs, proper use of advanced device therapies, setting of HF clinics, and thereby increase the patient's health-care utilization. In India, more specialized centers for treating heart failure need to be created and the nurse led heart failure clinics must be developed in larger scale for the better care of heart failure patients.

Keywords: Heart failure clinic, heart failure management, heart failure nurse, specialized training for heart failure management


How to cite this article:
Subeen P D, Vashista S, Chopra VK. Patient care workshop organized by heart failure association of the European Society of Cardiology. J Pract Cardiovasc Sci 2018;4:211-3

How to cite this URL:
Subeen P D, Vashista S, Chopra VK. Patient care workshop organized by heart failure association of the European Society of Cardiology. J Pract Cardiovasc Sci [serial online] 2018 [cited 2019 May 19];4:211-3. Available from: http://www.j-pcs.org/text.asp?2018/4/3/211/249946


  Introduction Top


The patient care workshop was organized by the heart failure (HF) association of the European Society of Cardiology in Vilnius, Lithuania on October 26, 2018. The venue of the workshop was Vilnius grand resort at Vilnius.


  Background Top


HF is a complex clinical syndrome that requires a multifaceted treatment regimen and is associated with frequent hospitalizations, poor quality of life, high morbidity, and 1-year mortality rates of up to 30%.[1],[2] The practice of evidence-based guidelines of HF will help for continued professional development among cardiologists, practitioners, and nurses who manage HF.

Program

Cardiologists, general practitioners, and nurses from different countries were invited to the workshop. A total of 26 delegates from Azerbaijan, India, Ireland, Israel, Lithuania, Macedonia Republic of North, Moldova Republic, Russia, and Ukraine were attending the workshop. From India, we three got the opportunity to attend – Dr. VK Chopra (Cardiologist), Medanta Hospital, New Delhi, Mr. Subeen (Nursing officer), AIIMS, New Delhi, and Dr. Shivani Vashista (General Practitioner), AIIMS, New Delhi. The workshop was divided into five sessions. There were a total of 11 faculties who presented different topics regarding HF and its management and lead discussions after each session. The workshop started at 9 am and was ended at 5 pm. The program was initiated with a welcome speech by Prof. Tiny Jaarsma (chairperson).


  Keynotes Top


The first session was focused on diagnosis, including the BNP and echocardiography, ongoing management with drug optimization and advanced therapies – ICD/CRTD/LVADs, followed with the discussion about the importance of checking BNP, and they shared various studies of the European countries with BNP data representing various ranges of BNP values and management of patient accordingly.[3] Various echocardiography images were shown to describe methods and parameters that can effectively help the cardiologist to rule out the diagnosis of HF patients. Pharmacological management of HF was a broad spectrum topic which included brief knowledge of the various drugs used in HF management, i.e., ACE inhibitors, Beta blockers, MRA, diuretics, and digoxin. A small discussion about the newer drugs such as ARNI and Ivabradine was also done. The emphasis on drug selection and optimization was discussed; later, the medication adherence was given importance as patients are ignorant towards their medication. The Discussion was extended to the use of long-term and short-term treatment with inotropes in HF. A very brief discussion about the use and nursing considerations of advanced therapies such as ICD, CRTD, and LVAD was discussed in a nutshell. The second session was discussed about the specialist HF programs. The importance of setting up centers with specialized experts in treating HF patients and the importance of multidisciplinary approach on managing HF were discussed[4] [Figure 1]. The discussion on the Components of an HF program, according to the guidelines emphasized the HF patient's health education, self-care management, medication adherence, and discharge counseling. The Third session was discussed about the “HF clinic” model. The discussion was done on the various topics such as the history of the development of HF “clinic” model, the present status of HF clinics, different approaches of home-based management at “community level” and “home visits” and its advantages and disadvantages in implementation [Figure 2]. The role of the cardiologist, general practitioner, and nurses within the HF team was discussed [Figure 3] and [Figure 4]. The specialized HF nurse curriculum also highlighted here.[5] The successful starting of HF clinic in Lithuania were presented. The process for getting approval from the ministry level to start nurse-led HF clinics and training for specialized HF nurses were discussed. The fourth session was discussed about different case scenarios - what to do when patients are non-adherent to the management plan, optimal planning for the discharge of frail elderly, priorities for the patients with comorbidities such as angina, renal failure, and chronic obstructive pulmonary disease. The fifth session was discussed regarding the practical considerations for setting up an HF specialized service such as money, personnel, room, specialized curriculum for training the personnel, supporting agencies, and network around the globe.
Figure 1: Discussion on setting specialized centres for treating heart failure.

Click here to view
Figure 2: Discussion on setting nurse led heart failure clinics.

Click here to view
Figure 3: Discussion on role of nurse within the multi desciplinary heart failure care team.

Click here to view
Figure 4: Delegates from 9 countries.

Click here to view



  Conclusion Top


Educational programs for cardiologists, general practitioners, and nurses may benefit HF patients and may lead to increased adherence to the clinical guidelines related to selection and optimization of drugs, proper use of advanced device therapies, setting of HF clinics, and thereby increase the patient's health-care utilization. We hope that we can adopt the newer methods of HF management and HF clinics we learned from the workshop and can be implemented in the Indian scenario to ensure the better management of HF patients.

Financial support and sponsorship

This study was supported by Failure Association of European Society of Cardiology.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Heart Failure Society of America. Executive summary: HFSA 2010 comprehensive heart failure practice guidelines. J Card Fail 2010;16:475-53.  Back to cited text no. 1
    
2.
Chen J, Normand SL, Wang Y, Krumholz HM. National and regional trends in heart failure hospitalization and mortality rates for medicare beneficiaries, 1998-2008. JAMA 2011;306:1669-78.  Back to cited text no. 2
    
3.
Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JG, Coats AJ, et al. 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure: The task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) Developed with the special contribution of the heart failure association (HFA) of the ESC. Eur Heart J 2016;37:2129-200.  Back to cited text no. 3
    
4.
McDonagh TA, Gardner RS, Lainscak M, Nielsen OW, Parissis J, Filippatos G, et al. Heart failure association of the European society of cardiology specialist heart failure curriculum. Eur J Heart Fail 2014;16:151-62.  Back to cited text no. 4
    
5.
Riley JP, Astin F, Crespo-Leiro MG, Deaton CM, Kienhorst J, Lambrinou E, et al. Heart failure association of the European society of cardiology heart failure nurse curriculum. Eur J Heart Fail 2016;18:736-43.  Back to cited text no. 5
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

Top
 
 
  Search
 
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

 
  In this article
   Abstract
  Introduction
  Background
  Keynotes
  Conclusion
   References
   Article Figures

 Article Access Statistics
    Viewed276    
    Printed22    
    Emailed0    
    PDF Downloaded35    
    Comments [Add]    

Recommend this journal


[TAG2]
[TAG3]
[TAG4]