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  2. Keyword: HFpEF
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ABCHF
Editorial

Lessons Learned from Community Studies of HFpEF – The Digitalis Study

Eduarda Corrêa Maia et al. Evandro Tinoco Mesquita Antonio José Lagoeiro Jorge Luiz Claudio Danzmann

Medical education and, in particular, research in cardiovascular graduate programs have been developed within a segmented view, which reduces and disregards other aspects that constitute the individual, as well as the person beyond the disease. To correct and improve this view, we must understand the transformations that have occurred in medical education and in the health system rather than the privileges that constitute the current health scenario in Brazil. To this end, it is essential to understand the historical context of the changes in health education and medical education that led a group of researchers from the Fluminense Federal University (Universidade Federal Fluminense, UFF) to gain knowledge of heart failure (HF) in the city of Niterói, Brazil, which is the basis of the Digitalis study.,

Inspired by the importance of primary health care (PHC) in the Alma-Ata Declaration, which was adopted in 1978, projects aimed at improving health quality and access to health were planned and established with methods that included the entire community. From this point onward, we were able to observe the development and implementation of the PHC model in Brazil and, especially, in the city of Niterói, which pioneered the implementation of the Family Health Program (FHP). The FHP, which is based on the family medicine model from Cuba, consists of a team of general practitioners, led by a family doctor, that is responsible for the health of family groups in a given territory.,

[…]

  • Cardiology
  • Family Health Program
  • HFpEF
  • Primary Care
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Creative Commons Attribution (CC BY) Creative Commons license
01/12/2022 DOI: 10.36660/abchf.20220053 Views 1
ABCHF
Review Article

Pathophysiological Bases of Pulmonary Hypertension in Heart Failure with Preserved Ejection Fraction and Implications for Management

Aguinaldo F. Freitas Jr. et al. Daniela do Carmo Rassi Frota Salvador Rassi

Prevalence, definition, and diagnosis

The prevalence of PH in patients with HFpEF is widely heterogeneous, with frequencies ranging from 36% to 81%, and this is due to the diagnostic means used, to the time of progression of the underlying disease, and to the different ejection fraction cut-off points used to define HFpEF. For example, in a subanalysis of the PARAGON study, the prevalence of PH in patients with HFpEF was 31%. Moreover, the different phenotypes of HFpEF may present with a lower or higher degree of PH, depending on the increase in pulmonary vascular resistance, the increase in right atrial pressure, and associated concomitant chronic kidney disease.

Group 2 PH is defined as mean pulmonary artery pressure > 20 mmHg and pulmonary capillary pressure > 15 mmHg. Right heart catheterization is considered the gold standard for accurate measurement of pulmonary pressures, and it is valuable in evaluation of the hemodynamic response to physical exertion, providing important information for differentiating between group 2 PH and other etiologies.

[…]

  • Heart Failure
  • HFpEF
  • Pulmonary Hypertension
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Creative Commons Attribution (CC BY) Creative Commons license
01/12/2022 DOI: 10.36660/abchf.20220061

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Maia EC, Mesquita ET, Jorge AJL, Danzmann LC. Lessons Learned from Community Studies of HFpEF – The Digitalis Study. ABC: Heart Failure & Cardiomyopathy 2022;2(3):239-41.

Electronic Document Format (ABNT)

Maia, Eduarda Corrêa; Mesquita, Evandro Tinoco; Jorge, Antonio José Lagoeiro; Danzmann, Luiz Claudio. Lessons Learned from Community Studies of HFpEF – The Digitalis Study. ABC: Heart Failure & Cardiomyopathy, v. 2, n. 3, p. 239-241, Nov. 2022.

Electronic Document Format (APA)

Maia, E. C., Mesquita, E. T., Jorge, A. J. L., & Danzmann, L. C. (2022). Lessons Learned from Community Studies of HFpEF – The Digitalis Study. ABC: Heart Failure & Cardiomyopathy, 2(3), 239-241.

Electronic Document Format (ISO)

Maia, Eduarda Corrêa and Mesquita, Evandro Tinoco and Jorge, Antonio José Lagoeiro and Danzmann, Luiz Claudio. Lessons Learned from Community Studies of HFpEF – The Digitalis Study. ABC: Heart Failure & Cardiomyopathy [online]. 2022, vol. 2, n. 3, [cited 2026-10-14], pp. 239-241. Available from: <https://journals.cardiol.br/en/article/lessons-learned-from-community-studies-of-hfpef-the-digitalis-study/>

EndNote RIS

Electronic Document Format (Vancouver)

Freitas Jr. AF, Frota DCR, Rassi S. Pathophysiological Bases of Pulmonary Hypertension in Heart Failure with Preserved Ejection Fraction and Implications for Management. ABC: Heart Failure & Cardiomyopathy 2022;2(3):296-8.

Electronic Document Format (ABNT)

Freitas Jr., Aguinaldo F.; Frota, Daniela do Carmo Rassi; Rassi, Salvador. Pathophysiological Bases of Pulmonary Hypertension in Heart Failure with Preserved Ejection Fraction and Implications for Management. ABC: Heart Failure & Cardiomyopathy, v. 2, n. 3, p. 296-298, Nov. 2022.

Electronic Document Format (APA)

Freitas Jr., A. F., Frota, D. C. R., & Rassi, S. (2022). Pathophysiological Bases of Pulmonary Hypertension in Heart Failure with Preserved Ejection Fraction and Implications for Management. ABC: Heart Failure & Cardiomyopathy, 2(3), 296-298.

Electronic Document Format (ISO)

Freitas Jr., Aguinaldo F. and Frota, Daniela do Carmo Rassi and Rassi, Salvador. Pathophysiological Bases of Pulmonary Hypertension in Heart Failure with Preserved Ejection Fraction and Implications for Management. ABC: Heart Failure & Cardiomyopathy [online]. 2022, vol. 2, n. 3, [cited 2026-10-14], pp. 296-298. Available from: <https://journals.cardiol.br/en/article/pathophysiological-bases-of-pulmonary-hypertension-in-heart-failure-with-preserved-ejection-fraction-and-implications-for-management/>

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