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Published in: Heart Failure Reviews 6/2020

01-11-2020 | Heart Failure

Quality of life of chronic heart failure patients: a systematic review and meta-analysis

Authors: Mandana Moradi, Fereshteh Daneshi, Razieh Behzadmehr, Hosien Rafiemanesh, Salehoddin Bouya, Mohammad Raeisi

Published in: Heart Failure Reviews | Issue 6/2020

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Abstract

Despite various individual studies on the quality of life (QOL) in patients with CHF, a comprehensive study has not yet been conducted; therefore, this study aims to assess the QOL of CHF patients. In the present systematic review and meta-analysis, PubMed, Scopus, and the Web of science databases were searched from January 1, 2000, to December 31, 2018, using QOL and heart failure as keywords. The searches, screenings, quality assessments, and data extractions were conducted separately by two researchers. A total of 70 studies including 25,180 participants entered the final stage. The mean QOL score was 44.1 (95% confidence interval (CI) 40.6, 47.5; I2 = 99.3%) using a specific random effects method in 40 studies carried out on 12,520 patients. Moreover, according to the geographical region, heart failure patients in the Americas had higher scores. In 14 studies, in which a general SF-36 survey was implemented, the average physical component score (PCS) and mental component score (MCS) were 33.3 (95% CI 31.9, 34.7; I2 = 88.0%) and 50.6 (95% CI 43.8, 57.4; I2 = 99.3%), respectively. The general and specific tools used in this study indicated moderate and poor QOL, respectively. Therefore, it is necessary to carry out periodic QOL measurements using appropriate tools as part of the general care of CHF patients.
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Literature
1.
go back to reference Benjamin EJ, Muntner P, Bittencourt MS (2019) Heart disease and stroke statistics-2019 update: A report from the American Heart Association. Circulation 139(10):e56–e528PubMedCrossRef Benjamin EJ, Muntner P, Bittencourt MS (2019) Heart disease and stroke statistics-2019 update: A report from the American Heart Association. Circulation 139(10):e56–e528PubMedCrossRef
2.
go back to reference Cook C, Cole G, Asaria P, Jabbour R, Francis DP (2014) The annual global economic burden of heart failure. Int J Cardiol 171(3):368–376PubMedCrossRef Cook C, Cole G, Asaria P, Jabbour R, Francis DP (2014) The annual global economic burden of heart failure. Int J Cardiol 171(3):368–376PubMedCrossRef
3.
go back to reference Dokainish H, Teo K, Zhu J, Roy A, AlHabib KF, ElSayed A, Palileo-Villaneuva L, Lopez-Jaramillo P, Karaye K, Yusoff K (2017) Global mortality variations in patients with heart failure: results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study. Lancet Glob Health 5(7):e665–e672PubMedCrossRef Dokainish H, Teo K, Zhu J, Roy A, AlHabib KF, ElSayed A, Palileo-Villaneuva L, Lopez-Jaramillo P, Karaye K, Yusoff K (2017) Global mortality variations in patients with heart failure: results from the International Congestive Heart Failure (INTER-CHF) prospective cohort study. Lancet Glob Health 5(7):e665–e672PubMedCrossRef
4.
go back to reference Juenger J, Schellberg D, Kraemer S, Haunstetter A, Zugck C, Herzog W, Haass M (2002) Health related quality of life in patients with congestive heart failure: comparison with other chronic diseases and relation to functional variables. Heart 87(3):235–241PubMedPubMedCentralCrossRef Juenger J, Schellberg D, Kraemer S, Haunstetter A, Zugck C, Herzog W, Haass M (2002) Health related quality of life in patients with congestive heart failure: comparison with other chronic diseases and relation to functional variables. Heart 87(3):235–241PubMedPubMedCentralCrossRef
5.
go back to reference Park J, Moser DK, Griffith K, Harring JR, Johantgen M (2019) Exploring symptom clusters in people with heart failure. Clin Nurs Res 28(2):165–181PubMedCrossRef Park J, Moser DK, Griffith K, Harring JR, Johantgen M (2019) Exploring symptom clusters in people with heart failure. Clin Nurs Res 28(2):165–181PubMedCrossRef
6.
go back to reference Salyer J, Flattery M, Lyon DE (2019) Heart failure symptom clusters and quality of life. Heart Lung 48(5):366-372 Salyer J, Flattery M, Lyon DE (2019) Heart failure symptom clusters and quality of life. Heart Lung 48(5):366-372
7.
go back to reference Sokoreli I, De Vries J, Pauws S, Steyerberg E (2016) Depression and anxiety as predictors of mortality among heart failure patients: systematic review and meta-analysis. Heart Fail Rev 21(1):49–63PubMedCrossRef Sokoreli I, De Vries J, Pauws S, Steyerberg E (2016) Depression and anxiety as predictors of mortality among heart failure patients: systematic review and meta-analysis. Heart Fail Rev 21(1):49–63PubMedCrossRef
8.
go back to reference Van Jaarsveld CH, Sanderman R, Miedema I, Ranchor AV, Kempen GI (2001) Changes in health-related quality of life in older patients with acute myocardial infarction or congestive heart failure: a prospective study. J Am Geriatr Soc 49(8):1052–1058PubMedCrossRef Van Jaarsveld CH, Sanderman R, Miedema I, Ranchor AV, Kempen GI (2001) Changes in health-related quality of life in older patients with acute myocardial infarction or congestive heart failure: a prospective study. J Am Geriatr Soc 49(8):1052–1058PubMedCrossRef
9.
go back to reference Zambroski CH, Moser DK, Bhat G, Ziegler C (2005) Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure. Eur J Cardiovasc Nurs 4(3):198–206PubMedCrossRef Zambroski CH, Moser DK, Bhat G, Ziegler C (2005) Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure. Eur J Cardiovasc Nurs 4(3):198–206PubMedCrossRef
10.
go back to reference Alla F, Briançon S, Guillemin F, Juillière Y, Mertès PM, Villemot JP, Zannad F, Investigators E (2002) Self-rating of quality of life provides additional prognostic information in heart failure. Insights into the EPICAL study. Eur J Heart Fail 4(3):337–343PubMedCrossRef Alla F, Briançon S, Guillemin F, Juillière Y, Mertès PM, Villemot JP, Zannad F, Investigators E (2002) Self-rating of quality of life provides additional prognostic information in heart failure. Insights into the EPICAL study. Eur J Heart Fail 4(3):337–343PubMedCrossRef
11.
go back to reference Angermann CE, Gelbrich G, Störk S, Gunold H, Edelmann F, Wachter R, Schunkert H, Graf T, Kindermann I, Haass M (2016) Effect of escitalopram on all-cause mortality and hospitalization in patients with heart failure and depression: the MOOD-HF randomized clinical trial. Jama 315(24):2683–2693PubMedCrossRef Angermann CE, Gelbrich G, Störk S, Gunold H, Edelmann F, Wachter R, Schunkert H, Graf T, Kindermann I, Haass M (2016) Effect of escitalopram on all-cause mortality and hospitalization in patients with heart failure and depression: the MOOD-HF randomized clinical trial. Jama 315(24):2683–2693PubMedCrossRef
12.
go back to reference Gupta A, Allen LA, Bhatt DL, Cox M, DeVore AD, Heidenreich PA, Hernandez AF, Peterson ED, Matsouaka RA, Yancy CW (2018) Association of the hospital readmissions reduction program implementation with readmission and mortality outcomes in heart failure. JAMA Cardiol 3(1):44–53PubMedCrossRef Gupta A, Allen LA, Bhatt DL, Cox M, DeVore AD, Heidenreich PA, Hernandez AF, Peterson ED, Matsouaka RA, Yancy CW (2018) Association of the hospital readmissions reduction program implementation with readmission and mortality outcomes in heart failure. JAMA Cardiol 3(1):44–53PubMedCrossRef
13.
go back to reference Binanay C, Califf RM, Hasselblad V, O'connor C, Shah M, Sopko G, Stevenson L, Francis G, Leier C, Miller L (2005) Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial. Jama 294(13):1625–1633PubMedCrossRef Binanay C, Califf RM, Hasselblad V, O'connor C, Shah M, Sopko G, Stevenson L, Francis G, Leier C, Miller L (2005) Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial. Jama 294(13):1625–1633PubMedCrossRef
15.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4):264–269PubMedCrossRef Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151(4):264–269PubMedCrossRef
16.
go back to reference Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C, Baker P, Smith E, Buchbinder R (2012) Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol 65(9):934–939PubMedCrossRef Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C, Baker P, Smith E, Buchbinder R (2012) Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol 65(9):934–939PubMedCrossRef
17.
go back to reference Clark HD, Wells GA, Huët C, McAlister FA, Salmi LR, Fergusson D, Laupacis A (1999) Assessing the quality of randomized trials: reliability of the Jadad scale. Control Clin Trials 20(5):448–452PubMedCrossRef Clark HD, Wells GA, Huët C, McAlister FA, Salmi LR, Fergusson D, Laupacis A (1999) Assessing the quality of randomized trials: reliability of the Jadad scale. Control Clin Trials 20(5):448–452PubMedCrossRef
18.
go back to reference Piotrowicz E, Stepnowska M, Leszczyńska-Iwanicka K, Piotrowska D, Kowalska M, Tylka J, Piotrowski W, Piotrowicz R (2015) Quality of life in heart failure patients undergoing home-based telerehabilitation versus outpatient rehabilitation–a randomized controlled study. Eur J Cardiovasc Nurs 14(3):256–263PubMedCrossRef Piotrowicz E, Stepnowska M, Leszczyńska-Iwanicka K, Piotrowska D, Kowalska M, Tylka J, Piotrowski W, Piotrowicz R (2015) Quality of life in heart failure patients undergoing home-based telerehabilitation versus outpatient rehabilitation–a randomized controlled study. Eur J Cardiovasc Nurs 14(3):256–263PubMedCrossRef
21.
go back to reference Alla F, Briancon S, Guillemin F, Juilliere Y, Mertes PM, Villemot JP, Zannad F (2002) Self-rating of quality of life provides additional prognostic information in heart failure. Insights into the EPICAL study. Eur J Heart Fail 4(3):337–343PubMedCrossRef Alla F, Briancon S, Guillemin F, Juilliere Y, Mertes PM, Villemot JP, Zannad F (2002) Self-rating of quality of life provides additional prognostic information in heart failure. Insights into the EPICAL study. Eur J Heart Fail 4(3):337–343PubMedCrossRef
27.
go back to reference Bennett SJ, Perkins SM, Lane KA, Deer M, Brater DC, Murray MD (2001) Social support and health-related quality of life in chronic heart failure patients. Qual Life Res Int J Qual Life Asp Treat Care Rehab 10(8):671–682 Bennett SJ, Perkins SM, Lane KA, Deer M, Brater DC, Murray MD (2001) Social support and health-related quality of life in chronic heart failure patients. Qual Life Res Int J Qual Life Asp Treat Care Rehab 10(8):671–682
30.
go back to reference Borumandpour M, Valizadeh G, Dehghan A, Pourmarjani A, Ahmadifar M (2016) Application of WHOQOL-BREF for the evaluation of the quality of life in elderly patients with heart failure. Biosci Biotechnol Res Commun 9(4):878–883CrossRef Borumandpour M, Valizadeh G, Dehghan A, Pourmarjani A, Ahmadifar M (2016) Application of WHOQOL-BREF for the evaluation of the quality of life in elderly patients with heart failure. Biosci Biotechnol Res Commun 9(4):878–883CrossRef
32.
go back to reference Brostrom A, Stromberg A, Dahlstrom U, Fridlund B (2004) Sleep difficulties, daytime sleepiness, and health-related quality of life in patients with chronic heart failure. J Cardiovasc Nurs 19(4):234–242PubMedCrossRef Brostrom A, Stromberg A, Dahlstrom U, Fridlund B (2004) Sleep difficulties, daytime sleepiness, and health-related quality of life in patients with chronic heart failure. J Cardiovasc Nurs 19(4):234–242PubMedCrossRef
34.
go back to reference Cal A, Altay B (2017) The quality of life and home care needs of patients treated for heart failure. Pakistan Heart J 50(1):6–13 Cal A, Altay B (2017) The quality of life and home care needs of patients treated for heart failure. Pakistan Heart J 50(1):6–13
40.
41.
go back to reference De Leon CFM, Grady KL, Eaton C, Rucker-Whitaker C, Janssen I, Calvin J, Powell LH (2009) Quality of life in a diverse population of patients with heart failure baseline findings from the heart failure adherence and retention trial (HART). J Cardiopulm Rehabil Prev 29(3):171–178PubMedCrossRef De Leon CFM, Grady KL, Eaton C, Rucker-Whitaker C, Janssen I, Calvin J, Powell LH (2009) Quality of life in a diverse population of patients with heart failure baseline findings from the heart failure adherence and retention trial (HART). J Cardiopulm Rehabil Prev 29(3):171–178PubMedCrossRef
42.
46.
go back to reference Ekman I, Fagerberg B, Lundman B (2002) Health-related quality of life and sense of coherence among elderly patients with severe chronic heart failure in comparison with healthy controls. Heart Lung 31(2):94–101PubMedCrossRef Ekman I, Fagerberg B, Lundman B (2002) Health-related quality of life and sense of coherence among elderly patients with severe chronic heart failure in comparison with healthy controls. Heart Lung 31(2):94–101PubMedCrossRef
55.
go back to reference Hatmi ZN, Shaterian M, Kazemi MA (2007) Quality of life in patients hospitalized with heart failure: A novel two questionnaire study. Acta Med Iran 45(6):493–500 Hatmi ZN, Shaterian M, Kazemi MA (2007) Quality of life in patients hospitalized with heart failure: A novel two questionnaire study. Acta Med Iran 45(6):493–500
58.
go back to reference Hou N, Chui MA, Eckert GJ, Oldridge NB, Murray MD, Bennett SJ (2004) Relationship of age and sex to health-related quality of life in patients with heart failure. Am J Crit Care 13(2):153–161PubMedCrossRef Hou N, Chui MA, Eckert GJ, Oldridge NB, Murray MD, Bennett SJ (2004) Relationship of age and sex to health-related quality of life in patients with heart failure. Am J Crit Care 13(2):153–161PubMedCrossRef
62.
go back to reference Jaarsma T, Lesman-Leegte GAT, Cleuren GVJ, Lucas CMHB (2005) Measuring quality of life in heart failure: One versus multiple items. Neth Hear J 13(10):338–342 Jaarsma T, Lesman-Leegte GAT, Cleuren GVJ, Lucas CMHB (2005) Measuring quality of life in heart failure: One versus multiple items. Neth Hear J 13(10):338–342
64.
go back to reference Kato N, Kinugawa K, Seki S, Shiga T, Hatano M, Yao A, Hirata Y, Kazuma K, Nagai R (2011) Quality of life as an independent predictor for cardiac events and death in patients with heart failure. Circulation 75(7):1661–1669CrossRef Kato N, Kinugawa K, Seki S, Shiga T, Hatano M, Yao A, Hirata Y, Kazuma K, Nagai R (2011) Quality of life as an independent predictor for cardiac events and death in patients with heart failure. Circulation 75(7):1661–1669CrossRef
66.
68.
go back to reference Liu MH, Wang CH, Lee CM, Huang YY, Cherng WJ (2011) Disease knowledge, self-care behaviours and life quality in heart failure: experience of the Taiwan national health care. Brunei Int Med J 7(5):269–279 Liu MH, Wang CH, Lee CM, Huang YY, Cherng WJ (2011) Disease knowledge, self-care behaviours and life quality in heart failure: experience of the Taiwan national health care. Brunei Int Med J 7(5):269–279
70.
go back to reference Luo N, O'Connor CM, Cooper LB, Sun JL, Coles A, Reed SD, Whellan DJ, Piña IL, Kraus WE, Mentz RJ (2018) Relationship between changing patient-reported outcomes and subsequent clinical events in patients with chronic heart failure: insights from HF-ACTION. Eur J Heart Fail. https://doi.org/10.1002/ejhf.1299 Luo N, O'Connor CM, Cooper LB, Sun JL, Coles A, Reed SD, Whellan DJ, Piña IL, Kraus WE, Mentz RJ (2018) Relationship between changing patient-reported outcomes and subsequent clinical events in patients with chronic heart failure: insights from HF-ACTION. Eur J Heart Fail. https://​doi.​org/​10.​1002/​ejhf.​1299
73.
go back to reference Masoudi FA, Rumsfeld JS, Havranek EP, House JA, Peterson ED, Krumholz HM, Spertus JA (2004) Age, functional capacity, and health-related quality of life in patients with heart failure. J Card Fail 10(5):368–373PubMedCrossRef Masoudi FA, Rumsfeld JS, Havranek EP, House JA, Peterson ED, Krumholz HM, Spertus JA (2004) Age, functional capacity, and health-related quality of life in patients with heart failure. J Card Fail 10(5):368–373PubMedCrossRef
80.
go back to reference Saccomann I, Cintra FA, Gallani M (2010) Health-related quality of life among the elderly with heart failure: a generic measurement. Sao Paulo Med J 128(4):192–196PubMedCrossRef Saccomann I, Cintra FA, Gallani M (2010) Health-related quality of life among the elderly with heart failure: a generic measurement. Sao Paulo Med J 128(4):192–196PubMedCrossRef
86.
go back to reference Zachariah D, Stevens D, Sidorowicz G, Spooner C, Rowell N, Taylor J, Kay R, Salek MS, Kalra PR (2017, 249) Quality of life improvement in older patients with heart failure initiated on ivabradine: Results from the UK multi-centre LIVE:LIFE prospective cohort study. Int J Cardiol:313–318. https://doi.org/10.1016/j.ijcard.2017.08.001 Zachariah D, Stevens D, Sidorowicz G, Spooner C, Rowell N, Taylor J, Kay R, Salek MS, Kalra PR (2017, 249) Quality of life improvement in older patients with heart failure initiated on ivabradine: Results from the UK multi-centre LIVE:LIFE prospective cohort study. Int J Cardiol:313–318. https://​doi.​org/​10.​1016/​j.​ijcard.​2017.​08.​001
87.
go back to reference Behlouli H, Feldman DE, Ducharme A, Frenette M, Giannetti N, Grondin F, Michel C, Sheppard R, Pilote L (2009) Identifying relative cut-off scores with neural networks for interpretation of the Minnesota Living with Heart Failure questionnaire. In: 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, pp 6242-6246 Behlouli H, Feldman DE, Ducharme A, Frenette M, Giannetti N, Grondin F, Michel C, Sheppard R, Pilote L (2009) Identifying relative cut-off scores with neural networks for interpretation of the Minnesota Living with Heart Failure questionnaire. In: 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, pp 6242-6246
89.
go back to reference Jenkinson C, Jenkinson D, Shepperd S, Richard L, Petersen S (1997) Evaluation of treatment for congestive heart failure in patients aged 60 years and older using generic measures of health status (SF-36 and COOP charts). Age Ageing 26(1):7–13PubMedCrossRef Jenkinson C, Jenkinson D, Shepperd S, Richard L, Petersen S (1997) Evaluation of treatment for congestive heart failure in patients aged 60 years and older using generic measures of health status (SF-36 and COOP charts). Age Ageing 26(1):7–13PubMedCrossRef
91.
go back to reference Varvaro F, Olds N, Zullo T, Murali S (1999) Determining quality of life in older and younger women with congestive heart failure and myocardial infarction. Am J Geriatr Cardiol 8(1):15–20PubMed Varvaro F, Olds N, Zullo T, Murali S (1999) Determining quality of life in older and younger women with congestive heart failure and myocardial infarction. Am J Geriatr Cardiol 8(1):15–20PubMed
92.
go back to reference Strömberg A, Mårtensson J (2003) Gender differences in patients with heart failure. Eur J Cardiovasc Nurs 2(1):7–18PubMedCrossRef Strömberg A, Mårtensson J (2003) Gender differences in patients with heart failure. Eur J Cardiovasc Nurs 2(1):7–18PubMedCrossRef
93.
go back to reference Karakurt P, Aşılar RH, Yildirim A, Memiş Ş (2018) Determination of hopelessness and quality of life in patients with heart disease: an example from Eastern Turkey. J Relig Health 57(6):2092–2107PubMedCrossRef Karakurt P, Aşılar RH, Yildirim A, Memiş Ş (2018) Determination of hopelessness and quality of life in patients with heart disease: an example from Eastern Turkey. J Relig Health 57(6):2092–2107PubMedCrossRef
94.
go back to reference Silva SAD, Passos SRL, Carballo MT, Figueiró M (2011) Quality of life assessment after acute coronary syndrome: systematic review. Arq Bras Cardiol 97(6):526–540PubMedCrossRef Silva SAD, Passos SRL, Carballo MT, Figueiró M (2011) Quality of life assessment after acute coronary syndrome: systematic review. Arq Bras Cardiol 97(6):526–540PubMedCrossRef
95.
go back to reference Arian M, Mirmohammadkhani M, Ghorbani R, Soleimani M (2019) Health-related quality of life (HRQoL) in beta-thalassemia major (β-TM) patients assessed by 36-item short form health survey (SF-36): a meta-analysis. Qual Life Res 28(2):321–334PubMedCrossRef Arian M, Mirmohammadkhani M, Ghorbani R, Soleimani M (2019) Health-related quality of life (HRQoL) in beta-thalassemia major (β-TM) patients assessed by 36-item short form health survey (SF-36): a meta-analysis. Qual Life Res 28(2):321–334PubMedCrossRef
96.
go back to reference Sears SF, Woodrow L, Cutitta K, Ford J, Shea JB, Cahill J (2013) A patient’s guide to living confidently with chronic heart failure. Circulation 127(13):e525–e528PubMedCrossRef Sears SF, Woodrow L, Cutitta K, Ford J, Shea JB, Cahill J (2013) A patient’s guide to living confidently with chronic heart failure. Circulation 127(13):e525–e528PubMedCrossRef
97.
go back to reference Heo S, Lennie TA, Okoli C, Moser DK (2009) Quality of life in patients with heart failure: ask the patients. Heart Lung 38(2):100–108PubMedCrossRef Heo S, Lennie TA, Okoli C, Moser DK (2009) Quality of life in patients with heart failure: ask the patients. Heart Lung 38(2):100–108PubMedCrossRef
98.
go back to reference Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Drazner MH, Fonarow GC, Geraci SA, Horwich T, Januzzi JL (2013) 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 62(16):e147–e239PubMedCrossRef Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE, Drazner MH, Fonarow GC, Geraci SA, Horwich T, Januzzi JL (2013) 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 62(16):e147–e239PubMedCrossRef
Metadata
Title
Quality of life of chronic heart failure patients: a systematic review and meta-analysis
Authors
Mandana Moradi
Fereshteh Daneshi
Razieh Behzadmehr
Hosien Rafiemanesh
Salehoddin Bouya
Mohammad Raeisi
Publication date
01-11-2020
Publisher
Springer US
Published in
Heart Failure Reviews / Issue 6/2020
Print ISSN: 1382-4147
Electronic ISSN: 1573-7322
DOI
https://doi.org/10.1007/s10741-019-09890-2

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