Perspective| Volume 28, ISSUE 4, P659-663, April 2022

Role and Contribution of the General Heart Failure Cardiologist: Further Expansion of the Multidisciplinary Heart Failure Approach

Published:December 31, 2021DOI:
      Never before has the field of heart failure seen such accelerated advancements in medical and device therapies. The expansion of knowledge, albeit progressively over the last 5 decades with more rapid recent advances, provides heart failure specialists with a multitude of treatment options supported by a strong foundation of evidence. Nonetheless, the concurrent increasing prevalence of heart failure challenges the cardiology workforce to provide adequate care. Recently, the Journal of Cardiac Failure featured an article by Chuzi and Reza
      • Chuzi S
      • Reza N
      Cultivating interest in heart failure careers: can we reverse the current trend? Cultivating interest in heart failure careers.
      highlighting the need to cultivate interest in heart failure careers, rightfully suggesting the need to strengthen the advanced heart failure workforce. However, as it stands, heart failure is still an all-consuming cardiovascular disease, advancing much faster than the advanced heart failure workforce can handle. In addition, many advanced heart failure and transplant training programs remained unfilled to date. Thus, the need for dedicated specialized training to achieve the demanding competencies of heart failure may require further strategic development of training programs to manage preventive, early, and symptomatic heart failure stages.
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        • Chuzi S
        • Reza N
        Cultivating interest in heart failure careers: can we reverse the current trend? Cultivating interest in heart failure careers.
        J Card Fail. 2021; 27: 819-821
        • Ordóñez-Piedra J.
        • Ponce-Blandón JA
        • Robles-Romero JM
        • Gómez-Salgado J
        • Jiménez-Picón N
        • Romero-Martín M
        Effectiveness of the advanced practice nursing interventions in patients with heart failure: a systematic review.
        Nurs Open. 2021; 8: 1879-1891
        • McKay C.
        • Park C
        • Chang J
        • Brackbill M
        • Choi JY
        • Lee JH
        • et al.
        Systematic review and meta-analysis of pharmacist-led transitions of care services on the 30-day all-cause readmission rate of patients with congestive heart failure.
        Clin Drug Investig. 2019; 39: 703-712
        • Virani S.S.
        • Alonso A
        • Aparicio HJ
        • Benjamin EJ
        • Bittencourt MS
        • Callaway CW
        • et al.
        Heart disease and stroke statistics-2021 update: a report from the American Heart Association.
        Circulation. 2021; 143: e254-e743
      1. US Department of Health and Human Services. Organ procurement and transplantation network. 2021. Available at: Accessed September 11, 2021.

        • Vasan R.S.
        • Musani SK
        • Matsushita K
        • Beard W
        • Obafemi OB
        • Butler KR
        • et al.
        Epidemiology of heart failure stages in middle-aged black people in the community: prevalence and prognosis in the Atherosclerosis Risk in Communities Study.
        J Am Heart Assoc. 2021; 10e016524
        • Zheng P.P.
        • Yao SM
        • Guo D
        • Cui LL
        • Miao GB
        • Dong W
        • et al.
        Prevalence and prognostic value of heart failure stages: an elderly inpatient based cohort study.
        Front Med (Lausanne). 2021; 8639453
        • Kalogeropoulos A.P.
        • Samman-Tahhan A
        • Hedley JS
        • McCue AA
        • Bjork JB
        • Markham DW
        • et al.
        Progression to stage D heart failure among outpatients with stage C heart failure and reduced ejection fraction.
        JACC Heart Fail. 2017; 5: 528-537
        • Bozkurt B.
        • Coats AJ
        • Tsutsui H
        • Abdelhamid M
        • Adamopoulos S
        • Albert N
        • et al.
        Universal definition and classification of heart failure: a report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition of Heart Failure.
        J Card Fail. 2021; (Mar 1 [Epub ahead of print])
        • Jessup M.
        • Ardehali R
        • Konstam MA
        • Manno BV
        • Mathier MA
        • McPherson JA
        • et al.
        COCATS 4 Task Force 12: training in heart failure.
        J Am Coll Cardiol. 2015; 65: 1866-1876
        • Adamson P.B.
        • Abraham WT
        • Love C
        • Reynolds D
        The evolving challenge of chronic heart failure management: a call for a new curriculum for training heart failure specialists.
        J Am Coll Cardiol. 2004; 44: 1354-1357
        • Yancy C.W.
        • Drazner MH
        • Coffin ST
        • Cornwell 3rd, W
        • Desai S
        • Erwin 3rd, JP
        • et al.
        2020 ACC/HFSA/ISHLT lifelong learning statement for advanced heart failure and transplant cardiology specialists: a report of the ACC Competency Management Committee.
        J Card Fail. 2020; 26: 254-269
      2. HFSA Heart Failure Certification (HF-Cert). 2021. Available at: Accessed September 26, 2021.

      3. HFA Heart Failure Certification. Certification organised by the Heart Failure Association of the ESC (HFA). 2021. Available at:

        • Norton C.
        • Georgiopoulou VV
        • Kalogeropoulos AP
        • Butler J
        Epidemiology and cost of advanced heart failure.
        Prog Cardiovasc Dis. 2011; 54: 78-85