Evidence map›Paper›PMID 40246796›Full record

ArticleCardiology and therapy2025

Stressful Life Events and Heart Failure: A Mixed-Method Study to Analyze the Patient's Perspective.

Dina Di Giacomo, Eleonora Cilli, Federica Guerra, Francesco Barbati, Renata Petroni, Luigi Sciarra, Silvio Romano

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In one paragraph

Article in Cardiology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dina Di Giacomo *Life, Health and Environmental Sciences Department, University of L'Aquila, P.le Tommasi 1, L'Aquila, Italy. dina.digiacomo@univaq.it.ORCID http://orcid.org/0000-0001-8189-2052
Eleonora CilliLife, Health and Environmental Sciences Department, University of L'Aquila, P.le Tommasi 1, L'Aquila, Italy.
Federica GuerraLife, Health and Environmental Sciences Department, University of L'Aquila, P.le Tommasi 1, L'Aquila, Italy.
Francesco BarbatiLife, Health and Environmental Sciences Department, University of L'Aquila, P.le Tommasi 1, L'Aquila, Italy.
Renata PetroniDi Lorenzo' Clinic, Avezzano, L'Aquila, Italy.
Luigi Sciarra *Life, Health and Environmental Sciences Department, University of L'Aquila, P.le Tommasi 1, L'Aquila, Italy.
Silvio RomanoLife, Health and Environmental Sciences Department, University of L'Aquila, P.le Tommasi 1, L'Aquila, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe challenge in heart failure medical practice is to address the clinical and laboratory method integrations for the shared decision-making process in caring for patients and families. Furthermore, stressful life events may worsen outcomes in patients with heart failure. This study aimed to explore patient perceptions regarding cardiac care analyzing the individual needs and features of adverse life event experiences.

methodsA mixed-methods design was used in this study. This quantitative research focuses on clinical (medical and psychological) data. Giorgi's phenomenological method was applied to the interview analysis.

resultsQualitative analyses highlighted the role of patient-engagement strategies powered by cardiologists in a personalized approach that favors adherence to complex medical therapies. Active patient involvement and associated engagement based on cardiologists' confidence are focal points for facilitating management-therapy strategies to improve outcomes and reduce the perception of the frailty burden. The quality of therapeutic relationships with cardiologists is a key protective factor for accurate risk stratification and therapeutic decision-making in patients, addressing the potential benefits of therapeutic interventions.

conclusionsIn conclusion, the engaged patient contributes to more efficient cardiological care and the personalized patient-centered approach leads to the more efficient 'cure and care' clinical model. In adverse life events, acute psychological and physiological stress responses intensify detrimental outcomes for patients with cardiovascular disorders. Integrative management of physical risks and mental resilience factors in the development of cardiac disease appears to be strategic for patients with a positive quality of life (QoL) and clinical management of heart failure (HF).

Indexed as

Adverse life eventsAgeingBuffering effect of medical–patient relationshipEmotional triggerHeart failureMonitoring heart failure riskPatient engagementPersonalized care approachQuality of life

Identifiers

PMID40246796
PMCPMC12084194

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.