What services are currently provided to people with heart failure with preserved ejection fraction in the UK and what are their components? A systematic scoping review

作者：Faye Forsyth, Christi Deaton, Paul R. Kalra, M.H.L. Green, Mary Harrison, Sara Tavares, Andreas Dirksen, Isla Kuhn, Barbara Farquharson, Rosalynn Austin · 发表于：European Journal of Cardiovascular Nursing · 年份：2025 · DOI：10.1093/eurjcn/zvaf143 · 被引用次数：4 · 研究领域：Heart Failure Treatment and Management、Cardiovascular Function and Risk Factors、Cardiac pacing and defibrillation studies

AIMS: This study aims to review the clinical services currently provided to people with heart failure with preserved ejection fraction (HFpEF) living in the UK, to examine the format of clinical care, and to assess these against UK guideline recommendations provided by the National Institute for Health and Care Excellence (NICE). METHODS AND RESULTS: A systematic scoping review was performed. We synthesized articles narratively according to the systematic review without meta-analysis guidelines, drawing on other established recommendations for narrative methods. We critically appraised articles using Critical Appraisal Skills Programme tools. Following screening (n = 11 495) and full-text review (n = 68), we included 25 unique reports from databases and nine operations documents received following a public appeal. Overall reporting within both published articles and operations documents was sub-optimal, limiting our description of service provision. From the data available, it appeared that most services were NICE guideline compliant for overall heart failure management; however, multiple services augmented clinical teams with additional specialists to assist in the management of people with HFpEF. Thematic analysis suggested variability in HFpEF services and uncertainty over the optimal clinic format and management strategies, which was complicated by complexity in patients. Cumulatively, publications suggested there is a need for service re-design. CONCLUSION: Heart failure...