Bridging the gap: adapting heart failure guidelines for resource-limited settings: A European Journal of Heart Failure expert consensus document - PubMed
4 hours ago
- #Resource-Limited Settings
- #Heart Failure Guidelines
- #Global Health Equity
- Heart failure (HF) is a global cause of high morbidity and mortality, with worse outcomes in low- and middle-income countries (LMICs).
- Implementation of guideline-directed medical therapy is suboptimal, especially in LMICs due to barriers like limited diagnostics, therapies, socioeconomic constraints, and fragmented healthcare.
- Challenges in resource-limited settings include affordability, workforce shortages, cultural practices, infrastructure gaps, and inadequate insurance coverage.
- Strategies to overcome barriers involve accessible diagnostics, decentralized care, non-specialist provider roles, and telemedicine for care continuity.
- Systemic reforms are needed, such as improved insurance, stronger referral networks, and integration of primary prevention.
- Equitable representation of LMIC populations in clinical research is crucial for future therapy safety and efficacy.
- Bridging HF care gaps requires context-specific guideline adaptation, healthcare system strengthening, and innovative, sustainable care models.