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The Zurich postgraduate course in heart failure - the European Society of Cardiology premiere postgraduate course now in its fifth edition

DOI: https://doi.org/10.4414/cvm.2022.02264
Publication Date: 01.11.2022
Cardiovasc Med. 2022;25:w02264

Flammer Andreas J., Streichenberg Valérie, Ruschitzka Frank

Heart failure is an emerging epidemic owing to the growing and ageing population. As such, novel educational programmes for physicians to develop professional competence in all aspects of care for patients with acute and/or chronic heart failure are needed.

Therefore, in 2014, our team at the University Hospital Zurich developed the postgraduate course in heart failure (PCHF) to train cardiologists in modern heart failure management. The PCHF programme is based on the curriculum for heart failure published by the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) and organised by our team at the University of Zurich in close collaboration with the HFA, the European Society of Cardiology and its European Heart Academy (EHA) [1]. Upon successful completion a Certificate of Advanced Studies in Heart Failure of the University of Zurich (CAS UZH in Heart Failure) and a certificate of attendance of the ESC is awarded.

Course structure

PCHF is a two-year programme consisting of eight modules of 2.5 days each. All relevant aspects of modern heart failure management, such as diagnostic procedures, imaging, pharmacotherapy, devices, mechanical circulatory support systems and interventions are covered. The PCHF lays a particular emphasis on “hands-on” and “how-to-do” sessions, imaging, device programming, ward rounds, case-based learning and interventions, such as implantable cardioverter defibrillator (ICD) / cardiac resynchronisation therapy (CRT) implantation- and programming (fig. 1).

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Figure 1 
Course programme and structure.

Faculty

The international nature of the course is reflected by top-class international and national speakers and experts, as well as the highly motivated local team of the University Hospital Zurich (fig. 2A).

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Figure 2 
In the course involved persons. A. International and national speakers and experts. B. Swiss alumni 2014-2021.

Participants

To qualify for the course, candidates must be board-certified in cardiology and/or have completed at least two years of successful clinical training in cardiology. Their primary interest should be in the modern management of heart failure.

An international selection committee evaluates the applications. Because of focus of the course on hands-on and interactive how-to-do sessions, the number of participants is limited to 60 per course. The average age of participants is 36.6 years with women and men participants being equally represented.

To date, 260 young cardiologists from 61 countries (90% from Europe, 7% from Africa, Asia, Middle East and Oceania, 3% from North America and from South America) have successfully completed the course (fig. 3). Notably, so far 38 Swiss colleagues are proud alumni of our PCHF (fig. 2B).

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Figure 3 
Graduation ceremony (clockwise): (1) PCHF course 2014/2105, (2) PCHF course 2016/2017,
(3) PCHF course 2018/2019, (4) PCHF course 2020/2021.

Widely recognised as one of the leading educational programmes in all of cardiology, the PCHF is now running for the  fifth time, with the new course already having started in June 2022 with 62 participants from 26 countries (fig. 4).

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Figure 5
Group picture participants PCHF course, June 2022.

PCHF – a 2-year course, a life-long journey

With its more than 400 alumni, participants of the currently ongoing course and national and international faculty, our PCHF provides a unique network offering wonderful opportunities to exchange and share ideas. Alumni meetings in Zurich as well as during the annual HFA and ESC congresses represent an integral part of the life-long commitment to the worldwide PCHF community.

Our PCHF course has already spread from Zurich to other parts of the world. In February 2021, the PCHF South America was initiated by Prof. Clara Saldarriaga from Colombia (alumna of our third PCHF course) and Prof. Jose Antonio Magana Serrano from Mexico (alumnus of our first PCHF course). In 2021, the PASCAR Africa Heart Failure Course was started under the leadership of Dr Yagoub Musa from Sudan (alumnus of our first PCHF course), Dr Anders Barasa from Kenya (alumnus of our third PCHF course) and Dr Mahmoud Sani from Nigeria (alumnus of our fourth PCHF course). In addition, multicentre registries have been initiated such as the “Cardiac implantable electronic devices with a defibrillator component and all-cause mortality in left ventricular assist device carriers: results from the PCHF-VAD registry” [2] initiated by Prof. Maja Cikes (alumna of the first PCHF course) and the “Heart failure in COVID-19: the multicentre, multinational PCHF-COVICAV registry”  initiated by Dr Mateusz Sokolski and Dr Sander Trenson (both alumni of our fourth PCHF).

The heart of the PCHF Course

The success of this course is also owing to the dedicated support of Valérie Streichenberg, Kathrin Reber, Esther Willi and Markus Sprenger.

If you wish to become part of the Zurich ESC PCHF flagship course and the PCHF community, do not hesitate to send your interest to www.heartfailurcourse.com and be informed about the latest PCHF activities such as the application for the upcoming sixth postgraduate course in heart failure.

Correspondence

Prof. Andreas Flammer, MD

Heart failure and heart transplantation

Clinic for Cardiology

University Heart Center

Rämistrasse 100

CH-8091 Zürich

andreas.flammer[at]usz.ch

References

1.  Heart failure association of the European society of cardiology specialist heart failure curriculum. Eur J Heart Fail. 2014 Feb;16(2):151–62. http://dx.doi.org/10.1002/ejhf.41 PubMed 1879-0844

2. . Cardiac implantable electronic devices with a defibrillator component and all-cause mortality in left ventricular assist device carriers: results from the PCHF-VAD registry. Eur J Heart Fail. 2019 Sep;21(9):1129–41. http://dx.doi.org/10.1002/ejhf.1568 PubMed 1879-0844

3.  Heart failure in COVID-19: the multicentre, multinational PCHF-COVICAV registry. ESC Heart Fail. 2021 Dec;8(6):4955–67. http://dx.doi.org/10.1002/ehf2.13549 PubMed 2055-5822

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