Virtual Ward Rounds in Heart Failure: Personalising Management Across the EF Spectrum

Published: 18 January 2022

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Full programme

Part 2 of 3

Ejection Fraction: How Important Is It Today?

Martin R Cowie, Richard Hobbs, Kieran Docherty, Bharathi Upadhya


Join us for this roundtable discussion seeking to educate physicians in the changing landscape of the medical management of heart failure.


The programme has been split into three distinctive parts:


During the first element, Dr Kieran Docherty (University of Glasgow, UK) and Dr Bharathi Upadhya (Atrium Health Wake Forest Baptist, US) present the patients involved in the programme:


  • Dr Kieran Docherty will discuss a patient admitted to hospital with acutely decompensated heart failure – a previously undiagnosed male with type 2 diabetes, diabetic kidney disease and hypertension, who presented with acute dyspnoea.
  • Dr Bharathi Upadhya will discuss a 58 year-old man’s journey with progressive heart failure with preserved ejection fraction, initially presenting with dyspnoea and a worsening functional capacity.


Our expert panel then discuss each case and how they would treat the patients based on recent guideline and data updates during a roundtable discussion, moderated by Prof Martin Cowie (Royal Brompton Hospital, UK). 


The final element of the programme will explore how each patient has responded and how their quality of life and functional capacity has changed as a result.

This roundtable is supported via an unrestricted educational grant by AstraZeneca.

Key Learning Objectives

Upon participation in this programme physicians should be able to:

  • Apply results from real world and randomised controlled clinical trial data to surrogate, virtual patients
  • Identify different HF phenotypes based on EF, patient age, sex and comorbidities
  • Stratify stabilised HFpEF patients to an appropriate management approach according to patient characteristics
  • Discuss the merits of using EF and other patient characteristics to guide treatment

Target Audience

  • General Cardiologists
  • Heart Failure Specialists
  • Primary Care Physicians
  • Allied Healthcare Professionals
  • Nephrologists

More from this programme

Part 1

Patient Case Presentations

During these case presentations, the physicians present patient history, the work-up and their initial diagnosis, and then it’s over to you, to vote on what you would do for their long-term management. We discuss the final management approach during the roundtable in part two.

Part 2

Roundtable Discussion

During this roundtable, chaired by Prof Martin Cowie, our expert panel discuss each of the cases presented in part one and treatment strategies based on recent guidelines and data updates. The panel also analyse survey data, discuss the importance of EF, and the role of primary care in ongoing heart failure management.

Part 3

Patient Follow Up

The final chapter will explore how each patient has responded and how their quality of life and functional capacity has changed as a result.
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Faculty Biographies

Martin R Cowie

Martin R Cowie

Prof Martin Cowie is Professor of Cardiology at King's College London, and Honorary Consultant Cardiologist at the Royal Brompton Hospital, London, UK. Prof Cowie chairs the Clinical Practice Committee of the British Cardiac Society and sits on the UK Department of Health’s Primary Care and Heart Failure Implementation Board. 

Prof Cowie's research interests focus on health technology assessment and delivery of efficient and effective care for patients with heart failure, with a focus on diagnostics, drugs, and devices. He has had a longstanding interest in evaluating remote monitoring and other digital technologies in heart failure.

Prof Cowie’s studies and reviews have been published in a variety of peer-reviewed journals, including The Lancet, European Heart Journal, British Medical Journal, Heart and International Journal of Cardiology. He is a member of the editorial boards of Heart, The British Journal of Diabetes and…

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Richard Hobbs

Richard Hobbs

Professor and Head of Primary Care Health Services

Richard Hobbs is Professor and Head of Primary Care Health Sciences at the University of Oxford, UK. He is Co-Director of the Quality and Outcomes Review Panel and Deputy Director of the National Institute for Health Research National School for Primary Care Research.

Professor Hobbs serves on numerous scientific boards and is chair of the European Society of Cardiology (ESC) Council of Primary Care, as well as the Prevention and Care Board of the British Heart Foundation (BHF). His publications include 25 book chapters, nine edited books and more than 250 original papers in peer-reviewed journals.

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Kieran Docherty

Kieran Docherty

Clinical Lecturer (Institute of Cardiovascular & Medical Sciences)

Kieran Docherty studied medicine at the University of Glasgow from 2005-2011. He is a Cardiology Specialist Registrar in the West of Scotland Deanery and a Clinical Research Fellow at the Institute of Cardiovascular and Medical Sciences at the University of Glasgow. He is undertaking a PhD examining the effects of neprilysin inhibition on left ventricular remodelling. 

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Bharathi  Upadhya

Bharathi Upadhya

Associate Professor/Cardiovascular Medicine 

Dr Bharathi Upadhya is a clinician investigator with a board certification in Cardiovascular Medicine, Echocardiography, Nuclear Cardiology and Adult Congenital Heart Disease. 

Her research spans a wide range of topics in cardiovascular medicine including medical imaging-related projects and cardiac rehabilitation, exercise physiology, and aging. However, her most intense focus has been heart failure, particularly heart failure with preserved ejection fraction (HFpEF). 

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