AVANÇOS TERAPÊUTICOS E MUDANÇAS NO TRATAMENTO PÓS- PANDEMIA DAS PESSOAS COM INSUFICIÊNCIA CARDÍACA: UMA REVISÃO INTEGRATIVA.

Abstract

Introduction: Chronic heart failure (CHF) is a highly prevalent clinical condition characterized by the heart’s inability to pump blood effectively, compromising the adequate supply of oxygen and nutrients to body tissues. Given its high incidence and the negative impact it has on quality of life, it is essential to address this issue and discuss the available therapeutic innovations. Objective: To identify, in the scientific literature, studies that analyzed the therapeutic advances and changes in the treatment of patients with heart failure, especially in the post- pandemic context, with an emphasis on the impacts on quality of life. Methodology: For the development of this study, an integrative review of recent scientific literature on new treatment strategies for heart failure was conducted. The search was carried out in the following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed), Virtual Health Library (VHL), EMBASE, Web of Science, CINAHL, Science Direct, and SCOPUS. A temporal delimitation was applied, restricting the search to the period from 2020 to 2025. In summary, 33 articles were used in the preparation of this research. Results: The studies included in this analysis revealed heterogeneity regarding the year of publication, geographical location, and methodological design, encompassing multicenter randomized clinical trials as well as observational, interventional, and experimental studies. The populations investigated varied in their clinical characteristics and inclusion criteria. The interventions analyzed included pharmacological strategies, clinical procedures, and chronic heart failure management programs. Thus, the results show that new therapeutic approaches have significantly contributed to improving the survival and quality of life of patients with heart failure. Conclusion: It has been observed that the challenges posed by the COVID-19 pandemic, such as restrictions on access to healthcare services and fear of exposure to the virus, highlighted the need for innovative strategies for remote follow-up and continuous monitoring. In this scenario, nursing emerges as a key player in the implementation of adaptive practices focused on continuity of care, emotional support, and health education. Thus, this review contributes to the consolidation of patient-centered care models that combine technology, empathy, and scientific evidence, promoting not only clinical stability but also improvements in health outcomes.