PCV21 Association between Low-Income Status and Death in Japanese Patients with Heart Failure: Life Study

Assessing self-care is important aspects among patients with heart failure. However, few studies were conducted to assess self-care among patients with heart failure in Jordan. Therefore, this study aimed to assess the most and the least performed maintenance self-care behaviors and to examine the relationship between maintenance self-care behaviors and selected sociodemographics. A cross-sectional design utilizing a convenience sample of 226 patients with heart failure was used. The maintenance self-care mean was 53.89 and considered below the clinical target level (≥70). Asking for low salt item and performing physical exercises were the most performed self-care behaviors, while “trying to avoid getting sick” and “checking ankles for swelling” were the least performed self-care behaviors. Limited self-care behaviors indicated the need to implement cardiac education that may improve self-care behaviors. Cardiac education should target mainly patients with low income, low educational level, elderly, living alone, unemployed, and who are using traditional treatment.

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Effect of a cardiac rehabilitation program on exercise oscillatory ventilation in Japanese patients with heart failure

Heart and Vessels ◽

10.1007/s00380-015-0782-x ◽

2015 ◽

Vol 31 (10) ◽

pp. 1659-1668 ◽

Cited By ~ 5

Author(s):

Fumitake Yamauchi ◽

Hitoshi Adachi ◽

Jun-ichi Tomono ◽

Shigeru Toyoda ◽

Koichi Iwamatsu ◽

...

Keyword(s):

Heart Failure ◽

Cardiac Rehabilitation ◽

Japanese Patients ◽

Rehabilitation Program ◽

Cardiac Rehabilitation Program ◽

Oscillatory Ventilation ◽

Patients With Heart Failure

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Pharmacokinetics of R- and S-Carvedilol in Routinely Treated Japanese Patients with Heart Failure

Biological and Pharmaceutical Bulletin ◽

10.1248/bpb.31.976 ◽

2008 ◽

Vol 31 (5) ◽

pp. 976-980 ◽

Cited By ~ 20

Author(s):

Isao Horiuchi ◽

Takashi Nozawa ◽

Nozomu Fujii ◽

Hiroshi Inoue ◽

Mutsuko Honda ◽

...

Keyword(s):

Heart Failure ◽

Japanese Patients ◽

Patients With Heart Failure

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Effects of Statin Treatment in Japanese Patients with Heart Failure (PEARL Study): Rationale and Study Design

Journal of Cardiac Failure ◽

10.1016/j.cardfail.2008.07.020 ◽

2008 ◽

Vol 14 (7) ◽

pp. S133

Author(s):

Hiroyuki Takano ◽

Teruo Inoue ◽

Hiroshi Mizuma ◽

Satoshi Shindo ◽

Hiroya Narumi ◽

...

Keyword(s):

Heart Failure ◽

Study Design ◽

Japanese Patients ◽

Statin Treatment ◽

Patients With Heart Failure

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Validation of the HFA-PEFF- and H2FPEF score in Japanese patients with heart failure with preserved ejection fraction

European Heart Journal ◽

10.1093/ehjci/ehaa946.0998 ◽

2020 ◽

Vol 41 (Supplement_2) ◽

Author(s):

K Iwakura ◽

T Onishi ◽

M Okada ◽

K Inoue ◽

Y Koyama ◽

...

Keyword(s):

Heart Failure ◽

Ejection Fraction ◽

Global Longitudinal Strain ◽

Japanese Patients ◽

Mean Value ◽

Diagnostic Tools ◽

Funding Source ◽

Preserved Ejection Fraction ◽

Private Company ◽

Patients With Heart Failure

Abstract Background Diagnosing heart failure with preserved ejection fraction (HFpEF) still remains challenging, and simple and reliable diagnostic tools have been required. Recently, novel and evidence-based diagnostic algorithms for HFpEF were proposed, such as H2FPEF score (Circulation. 2018) and HFA-PEFF score (Eur Heart J 2019), and their accuracy was validated in the outside patient group. However, there are regional and ethnic variations in patient characteristics of HFpEF, particularly between Western and Asian countries, and it is not elucidated whether these diagnostic scores are useful in Asian population. Purpose To investigate the validity of the HFA-PEFF- and H2FPEF score in Japanese patients with HFpEF. Methods We calculated H2FPEF score and the second step of HFA-PEFF score among the registered patients in the PURSUIT-HFpEF (Prospective, Multicenter, Observational Study of Patients with Heart Failure with Preserved Ejection Fraction) study, which is a multicenter registration of patients hospitalized for HFpEF. The obtained scores were compared with the scores of the HFpEF cohort in the previous validation studies. We followed the study patients for median of 360 days (IQR 237–630 days) to observe the major adverse cardiovascular events (MACE; composite of death, heart failure hospitalization and stroke). Results We enrolled 757 patients hospitalized for HFpEF between June 2016 and August 2019 for the present study. H2FPEF score was obtained in 588 (77.7%) patients among them. Compared with the HFpEF cohorts in the previously reported sub-analysis of TOPCAT trial, the PURSUIT-HFpEF cohort had lower mean value of HFpEF score (4.0±1.8 points vs. 6.0±2.0 points in Americans or 5.3±1.9 points in Russians). It had significantly higher proportion (40.3%, p<0.001) of patients in the low likelihood of HFpEF category (0–3 points) than the TOPCAT cohorts (8.0% in Americans and 19.6% in Russians). HFA-PEFF score was obtained in 615 (81.2%) patients, though global longitudinal strain was not available. The mean value of HFA-PEFF score was 5.0±0.8, and all patients had ≥2 points. The proportion of patients in the high likelihood of HFpEF category (5–6 points) was 88.3%, which was significantly higher (p<0.001) than those of the HFpEF cohort from Europe and USA in the previous validation study (Eur J Heart Fail 2019). There was no correlation between H2FPEF score and HFA-PEFF score (R=0.06, p=0.14). Cox proportional hazard model selected HFA-PEFF score as a significant predictor for MACE during follow-up period, whereas H2PEF score was not selected. Kaplan-Meier survival analysis demonstrated that patients with 6 points of HFA-PEFF score had higher incidence rate of MACE than those with ≤5 points (p=0.002). Conclusion The HFA-PEFF score could be more useful for the diagnosis and risk stratification for HFpEF than the H2PEF score in the Japanese cohort. Funding Acknowledgement Type of funding source: Private company. Main funding source(s): Roche Diagnostics K.K.; Fuji Film Toyama Chemical Co. Ltd.

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Do patient-reported outcome measures measure up? A qualitative study to examine perceptions and experiences with heart failure proms among diverse, low-income patients

Journal of Patient-Reported Outcomes ◽

10.1186/s41687-022-00410-9 ◽

2022 ◽

Vol 6 (1) ◽

Author(s):

Jonathan Davis ◽

Kristan Olazo ◽

Maribel Sierra ◽

Michelle E. Tarver ◽

Brittany Caldwell ◽

...

Keyword(s):

Mental Health ◽

Heart Failure ◽

Health Care ◽

Low Income ◽

Underserved Populations ◽

White Male ◽

Safety Net ◽

Patient Reported Outcome ◽

Patient Reported ◽

Patients With Heart Failure

Abstract Background The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a Patient-Reported Outcome Measure (PROM) used to evaluate the health status of patients with heart failure (HF) but has predominantly been tested in settings serving predominately white, male, and economically well-resourced populations. We sought to examine the acceptability of the shorter version of the KCCQ (KCCQ-12) among racially and ethnically diverse patients receiving care in an urban, safety-net setting. Methods We conducted cognitive interviews with a diverse population of patients with heart failure in a safety net system to assess their perceptions of the KCCQ-12. We conducted a thematic analysis of the qualitative data then mapped themes to the Capability, Opportunity, Motivation Model of Behavior framework. Results We interviewed 18 patients with heart failure and found that patients broadly endorsed the concepts of the KCCQ-12 with minor suggestions to improve the instrument’s content and appearance. Although patients accepted the KCCQ-12, we found that the instrument did not adequately measure aspects of health care and quality of life that patients identified as being important components of managing their heart failure. Patient-important factors of heart failure management coalesced into three main themes: social support, health care environment, and mental health. Conclusions Patients from this diverse, low-income, majority non-white population experience unique challenges and circumstances that impact their ability to manage disease. In this study, patients were receptive to the KCCQ-12 as a tool but perceived that it did not adequately capture key health components such as mental health and social relationships that deeply impact their ability to manage HF. Further study on the incorporation of social determinants of health into PROMs could make them more useful tools in evaluating and managing HF in diverse, underserved populations.

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