Heart Failure with Preserved Ejection Fraction: Persistent Diagnosis, Therapeutic Enigma
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•• Hummel SL, DeFranco AC, Skorcz S, Montoye CK, Koelling TM. Am J Med. 2009;122:1029–36. This study revealed that a low-salt diet in patients with HFPEF is shown to decrease the risk of death and readmission to the hospital; however only a small percentage of patients with HFPEF are being counseled on a low-salt diet at time of discharge compared to patients with systolic heart failure. The authors concluded that if clinicians educate patients with HFPEF about the importance of a low-salt diet, there may be fewer deaths and readmissions to the hospital in this group of patients.
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•• Hernandez AF, Greiner MA, Fonarow GC, et al. Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure. JAMA. 2010;303:1716–22. This study highlights one of the most important reasons for readmission in patients with HFPEF, which is poor follow-up care. In this study, the authors demonstrate that less than half of patients admitted with heart failure are seen within 7 days post-discharge, and less than 5% are seen by the same cardiologist in the hospital and within 7 days post-discharge in the office.