Silva-Cardoso, JoséMoreira, EmíliaTavares de Melo, RachelMoraes-Sarmento, PedroCardim, NunoOliveira, MárioGavina, CristinaMoura, BrendaAraújo, InêsSantos, PauloPeres, MarisaFonseca, CândidaPedro Ferreira, JoãoMarques, IreneAndrade, AuroraBaptista, RuiBrito, DulceCernadas, RuiDos Santos, JonathanLeite-Moreira, AdelinoGonçalves, LinoFerreira, JorgeAguiar, CarlosFonseca, ManuelaFontes-Carvalho, RicardoFranco, FátimaLourenço, CarolinaMartins, ElisabetePereira, HélderSantos, MárioPimenta, Joana2025-09-052025-09-052025-05Rev Port Cardiol . 2025 May;44(5):291-30240057186http://hdl.handle.net/10400.17/5177In Portugal, a 15.2% prevalence of heart failure with preserved ejection fraction (HFpEF) was recently identified among those aged ≥50 years. HFpEF represents 90% of Portuguese heart failure patients. HFpEF management in Portugal is challenging due to patient heterogeneity, diagnostic and therapeutic complexity, and organizational constraints on the healthcare system. Considering the above, a panel of Portuguese experts convened to address HFpEF management within the national context. This was done in a two-paper set. This, the second paper, identifies unmet needs and suggests a set of measures to improve the current organization of HFpEF management in Portugal. Our purpose is to create a multidisciplinary integrated care system, ensuring a seamless connection between hospitals and primary care. Additionally, we propose a practical approach to the management of HFpEF, including a roadmap for screening, diagnosis, referral and treatment. The aim is to help clinicians improve HFpEF management throughout the disease trajectory.enCritical PathwaysDisease Management*Health Services Needs and DemandHeart FailureDiastolic* / diagnosisDiastolic* / therapyHumansPortugalRoadmapHFpEFHSM CARtext10.1016/j.repc.2024.12.004