{"id":"https://openalex.org/W1581877553","doi":null,"title":"Analysis of heart failure management at the Heart Failure and Transplantation Clinics of the Cardiovascular Center of Puerto Rico and the Caribbean.","display_name":"Analysis of heart failure management at the Heart Failure and Transplantation Clinics of the Cardiovascular Center of Puerto Rico and the Caribbean.","publication_year":2008,"publication_date":"2008-12-01","ids":{"openalex":"https://openalex.org/W1581877553","mag":"1581877553","pmid":"https://pubmed.ncbi.nlm.nih.gov/19069368"},"language":"en","primary_location":{"id":"pmid:19069368","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19069368","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Puerto Rico health sciences journal","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5049434938","display_name":"Banchs Hl","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I158818660","display_name":"University of Puerto Rico, Medical Sciences Campus","ror":"https://ror.org/00h25w961","country_code":"PR","type":"education","lineage":["https://openalex.org/I158818660","https://openalex.org/I200399037"]},{"id":"https://openalex.org/I200399037","display_name":"University of Puerto Rico System","ror":"https://ror.org/02yg0nm07","country_code":"PR","type":"education","lineage":["https://openalex.org/I200399037"]}],"countries":["PR"],"is_corresponding":false,"raw_author_name":"H\u00e9ctor L Banchs-Pieretti","raw_affiliation_strings":["University of Puerto Rico, School of Medicine, Department of Medicine, Cardiology Section"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Puerto Rico, School of Medicine, Department of Medicine, Cardiology Section","institution_ids":["https://openalex.org/I158818660","https://openalex.org/I200399037"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047537605","display_name":"Hilton Franqui-Rivera","orcid":"https://orcid.org/0000-0003-4359-3427","observed_orcids":["https://orcid.org/0000-0003-4359-3427"]},"institutions":[{"id":"https://openalex.org/I200399037","display_name":"University of Puerto Rico System","ror":"https://ror.org/02yg0nm07","country_code":"PR","type":"education","lineage":["https://openalex.org/I200399037"]}],"countries":["PR"],"is_corresponding":false,"raw_author_name":"Hilton Franqui-Rivera","raw_affiliation_strings":["University of Puerto Rico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Puerto Rico","institution_ids":["https://openalex.org/I200399037"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008613611","display_name":"Omar Segarra-Alonso","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200399037","display_name":"University of Puerto Rico System","ror":"https://ror.org/02yg0nm07","country_code":"PR","type":"education","lineage":["https://openalex.org/I200399037"]}],"countries":["PR"],"is_corresponding":false,"raw_author_name":"Omar Segarra-Alonso","raw_affiliation_strings":["University of Puerto Rico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Puerto Rico","institution_ids":["https://openalex.org/I200399037"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089164252","display_name":"Velda Janet Gonzalez-Mercado","orcid":"https://orcid.org/0000-0002-7236-0182","observed_orcids":["https://orcid.org/0000-0002-7236-0182"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Velda J Gonz\u00e1lez-Mercado","raw_affiliation_strings":["Nursing"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nursing","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041136780","display_name":"Pablo I Altieri-Nieto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200399037","display_name":"University of Puerto Rico System","ror":"https://ror.org/02yg0nm07","country_code":"PR","type":"education","lineage":["https://openalex.org/I200399037"]}],"countries":["PR"],"is_corresponding":false,"raw_author_name":"Pablo I Altieri-Nieto","raw_affiliation_strings":["University of Puerto Rico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Puerto Rico","institution_ids":["https://openalex.org/I200399037"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032634124","display_name":"Rafael Calder\u00f3n-Rodr\u00edguez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200399037","display_name":"University of Puerto Rico System","ror":"https://ror.org/02yg0nm07","country_code":"PR","type":"education","lineage":["https://openalex.org/I200399037"]}],"countries":["PR"],"is_corresponding":false,"raw_author_name":"Rafael Calder\u00f3n-Rodr\u00edguez","raw_affiliation_strings":["University of Puerto Rico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Puerto Rico","institution_ids":["https://openalex.org/I200399037"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5063069992","display_name":"Michael V\u00e9lez-Crespo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I201879955","display_name":"Central University of the Caribbean","ror":"https://ror.org/01rpmzy83","country_code":"PR","type":"education","lineage":["https://openalex.org/I201879955"]}],"countries":["PR"],"is_corresponding":false,"raw_author_name":"Michael V\u00e9lez-Crespo","raw_affiliation_strings":["Universidad Central del Caribe"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Universidad Central del Caribe","institution_ids":["https://openalex.org/I201879955"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"27","issue":"4","first_page":"363","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10821","display_name":"Cardiovascular Function and Risk Factors","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11083","display_name":"Cardiac Health and Mental Health","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.9190000295639038},{"id":"https://openalex.org/keywords/disease-management-programs","display_name":"disease management programs","score":0.9580000042915344},{"id":"https://openalex.org/keywords/hispanic-patients","display_name":"Hispanic patients","score":0.6620000004768372},{"id":"https://openalex.org/keywords/nyha-functional-class","display_name":"NYHA functional class","score":0.8709999918937683},{"id":"https://openalex.org/keywords/left-ventricular-ejection-fraction","display_name":"left ventricular ejection fraction","score":0.9990000128746033},{"id":"https://openalex.org/keywords/hospitalization-rates","display_name":"hospitalization rates","score":0.8550000190734863},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.9559999704360962},{"id":"https://openalex.org/keywords/heart-failure-clinic","display_name":"heart failure clinic","score":0.6209999918937683},{"id":"https://openalex.org/keywords/puerto-rico","display_name":"Puerto Rico","score":0.4359999895095825}],"concepts":[{"id":"https://openalex.org/C78085059","wikidata":"https://www.wikidata.org/wiki/Q641303","display_name":"Ejection fraction","level":3,"score":0.8740116953849792},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8500744104385376},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.7637952566146851},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5698919296264648},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5627433061599731},{"id":"https://openalex.org/C2911091166","wikidata":"https://www.wikidata.org/wiki/Q106419912","display_name":"Transplantation","level":2,"score":0.5356359481811523},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5263974666595459},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.4848085939884186},{"id":"https://openalex.org/C2781374807","wikidata":"https://www.wikidata.org/wiki/Q6746704","display_name":"Management of heart failure","level":3,"score":0.4740540683269501},{"id":"https://openalex.org/C2781413609","wikidata":"https://www.wikidata.org/wiki/Q7308373","display_name":"Regimen","level":2,"score":0.46728476881980896},{"id":"https://openalex.org/C2780073493","wikidata":"https://www.wikidata.org/wiki/Q7523837","display_name":"Single Center","level":2,"score":0.4356881380081177},{"id":"https://openalex.org/C2778849806","wikidata":"https://www.wikidata.org/wiki/Q643396","display_name":"Heart transplantation","level":3,"score":0.42425405979156494},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.42421096563339233},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006333","descriptor_name":"Heart Failure","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:19069368","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19069368","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Puerto Rico health sciences journal","raw_type":"Journal Article"},{"id":"mag:1581877553","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19069368","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":30,"referenced_works":["https://openalex.org/W1491289779","https://openalex.org/W1507492770","https://openalex.org/W1973602069","https://openalex.org/W1978975950","https://openalex.org/W1989732061","https://openalex.org/W1990394448","https://openalex.org/W2009421678","https://openalex.org/W2021748331","https://openalex.org/W2055802019","https://openalex.org/W2074641064","https://openalex.org/W2077769666","https://openalex.org/W2080227956","https://openalex.org/W2102625542","https://openalex.org/W2103873084","https://openalex.org/W2106649266","https://openalex.org/W2107524016","https://openalex.org/W2112638898","https://openalex.org/W2113491887","https://openalex.org/W2123577954","https://openalex.org/W2126323276","https://openalex.org/W2132871389","https://openalex.org/W2134182571","https://openalex.org/W2137534212","https://openalex.org/W2140599116","https://openalex.org/W2144370156","https://openalex.org/W2171787586","https://openalex.org/W2312807852","https://openalex.org/W2313958625","https://openalex.org/W2397003148","https://openalex.org/W2415415115"],"related_works":["https://openalex.org/W2897390367","https://openalex.org/W1994639038","https://openalex.org/W4297179175","https://openalex.org/W1506891988","https://openalex.org/W2762604673","https://openalex.org/W3118586419","https://openalex.org/W4390373222","https://openalex.org/W2317997571","https://openalex.org/W4410980869","https://openalex.org/W2626799483"],"abstract_inverted_index":{"BACKGROUND:":[0],"Disease":[1],"management":[2,12],"programs":[3],"(DMP)":[4],"have":[5],"been":[6],"shown":[7],"to":[8,47,65,70,162,177,194,197,240],"be":[9],"effective":[10],"in":[11,218],"of":[13,31,35,45,132,148,202,253],"patients":[14,63],"with":[15,247],"heart":[16],"failure":[17],"(HF).":[18],"OBJECTIVE:":[19],"To":[20],"describe":[21],"the":[22,25,32,39,66,115,127,151,191,200,203,232,251],"experience":[23],"at":[24,119,126,150,199,231],"Heart":[26,82],"Failure":[27],"and":[28,38,109,118,122,226,244],"Transplantation":[29],"Clinic":[30],"Cardiovascular":[33],"Center":[34],"Puerto":[36],"Rico":[37],"Caribbean":[40],"(HFTC-CCPRC)":[41],"implementing":[42],"a":[43,48],"model":[44],"DMP":[46],"Hispanic":[49],"population":[50],"afflicted":[51],"by":[52,93],"HF.":[53],"METHODS:":[54],"A":[55,130],"retrospective":[56],"study":[57],"was":[58,186],"performed.":[59],"Medical":[60],"records":[61,134],"from":[62,68,114,137,158,173,188],"referred":[64],"HFTC-CCPRC":[67],"1999":[69],"2005":[71],"were":[72,112,135],"selected":[73],"for":[74,143],"review.":[75],"Information":[76],"regarding":[77,250],"drug":[78],"regimen,":[79],"New":[80],"York":[81],"Association":[83],"(NYHA)":[84],"functional":[85,154,223],"class,":[86,224],"left":[87,98],"ventricular":[88,99],"ejection":[89],"fraction":[90],"(LVEF)":[91],"determinations":[92],"echocardiography":[94],"or":[95],"scintigraphic":[96],"ventriculography,":[97],"dimensions":[100],"measurements,":[101],"maximal":[102],"oxygen":[103],"consumption":[104],"(MVO2":[105],"max)":[106],"determination,":[107],"hospitalizations,":[108],"death":[110],"cases":[111],"obtained":[113],"initial":[116,195],"evaluation":[117,196],"3,":[120],"6,":[121],"12":[123,146],"months":[124,147],"post-intervention":[125],"HFTC-CCPRC.":[128,233],"RESULTS:":[129],"total":[131],"633":[133],"screened,":[136],"which":[138],"244":[139],"had":[140,156,170],"complete":[141],"information":[142],"analysis.":[144],"After":[145],"treatment":[149],"HFTC-CCPRC,":[152],"NYHA":[153,222],"class":[155],"decreased":[157],"2.70":[159],"+":[160],"0.59":[161],"2.13":[163],"+/-":[164,175,179],"0.53":[165],"(p":[166,181,206],"<":[167,182,207],"0.01).":[168,183,208],"LVEF":[169],"also":[171],"increased":[172],"21.0":[174],"8.2%":[176],"39.9":[178],"14.6%":[180],"Hospitalization":[184],"rate":[185,228],"reduced":[187],"62.7%":[189],"within":[190],"year":[192],"prior":[193],"7.2%":[198],"end":[201],"12-month":[204],"period":[205],"CONCLUSIONS:":[209],"In":[210],"our":[211],"patient":[212],"population,":[213],"we":[214],"found":[215],"significant":[216],"improvement":[217],"several":[219],"parameters,":[220],"including":[221],"LVEF,":[225],"hospitalization":[227],"after":[229],"intervention":[230],"These":[234],"findings":[235],"are":[236,245],"most":[237],"likely":[238],"related":[239],"improved":[241],"guideline":[242],"adherence,":[243],"consistent":[246],"published":[248],"data":[249],"value":[252],"DMP's.":[254]},"counts_by_year":[{"year":2020,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}