Case study from Spotlight series

Ongoing specialist support for patient empowerment and self-care for HFpEF

14 January, 2020

The Radboud University Medical Centre in the Netherlands follows a comprehensive multidisciplinary care approach when managing heart failure with preserved ejection fraction (HFpEF).

Diagnosis and care are typically overseen by cardiologists, who communicate with each person’s GP in writing. A heart failure (HF) nurse is available for two hours every morning to provide ongoing support over the phone and via follow-up consultations. These consultations cover a range of HF topics: basic information about the syndrome and its impact, lifestyle changes, post-operative care, monitoring of signs and symptoms, review of medication plans, and referrals to other specialists as needed. Some people with HFpEF, depending on their needs, are given a ‘Free Call Card’ to be able to reach the outpatient clinic First Heart Help (Eerste Hart Hulp) even without a referral from the GP.

The care model includes a cardiac rehabilitation programme that focuses on lifestyle factors, such as diet and exercise, and the long-term management of HFpEF in everyday life.


Radboud UMC. Polikliniek hartfalen. Available from: [Accessed 27/10/19]

Máxima MC. Eerste Hart Hulp / Hartbewaking [First Heart Help/Heart Monitoring]. Available from: [Accessed 05/12/19]

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The Heart Failure Policy Network is an independent, multidisciplinary platform made possible with financial support from AstraZeneca and Roche Diagnostics. The content produced by the Network is not biased toward any specific treatment or therapy. All outputs are guided and endorsed by the Network’s members. All members provide their time for free. The Network is hosted by The Health Policy Partnership .