Heart failure: preventing disease and death worldwide.
Piotr Ponikowski,Stefan D. Anker,Khalid F. AlHabib,Martin R. Cowie,Thomas Force,Shengshou Hu,Tiny Jaarsma,Henry Krum,Vishal Rastogi,Luis Eduardo Paim Rohde,Umesh C. Samal,Hiroaki Shimokawa,Bambang Budi Siswanto,Karen Sliwa,Gerasimos Filippatos +14 more
TLDR
It is time to ease the strain on healthcare systems through clear policy initiatives that prioritize heart failure prevention and champion equity of care for all.Abstract:
Heart failure is a life-threatening disease and addressing it should be considered a global health priority. At present, approximately 26 million people worldwide are living with heart failure. The outlook for such patients is poor, with survival rates worse than those for bowel, breast or prostate cancer. Furthermore, heart failure places great stresses on patients, caregivers and healthcare systems. Demands on healthcare services, in particular, are predicted to increase dramatically over the next decade as patient numbers rise owing to ageing populations, detrimental lifestyle changes and improved survival of those who go on to develop heart failure as the final stage of another disease. It is time to ease the strain on healthcare systems through clear policy initiatives that prioritize heart failure prevention and champion equity of care for all.
Despite the burdens that heart failure imposes on society, awareness of the disease is poor. As a result, many premature deaths occur. This is in spite of the fact that most types of heart failure are preventable and that a healthy lifestyle can reduce risk. Even after heart failure has developed, premature deaths could be prevented if people were taught to recognize the symptoms and seek immediate medical attention. Public awareness campaigns focusing on these messages have great potential to improve outcomes for patients with heart failure and ultimately to save lives.
Compliance with clinical practice guidelines is also associated with improved outcomes for patients with heart failure. However, in many countries, there is considerable variation in how closely physicians follow guideline recommendations. To promote equity of care, improvements should be encouraged through the use of hospital performance measures and incentives appropriate to the locality. To this end, policies should promote the research required to establish an evidence base for performance measures that reflect improved outcomes for patients.
Continuing research is essential if we are to address unmet needs in caring for patients with heart failure. New therapies are required for patients with types of heart failure for which current treatments relieve symptoms but do not address the disease. More affordable therapies are desperately needed in the economically developing world. International collaborative research focusing on the causes and treatment of heart failure worldwide has the potential to benefit tens of millions of people.
Change at the policy level has the power to drive improvements in prevention and care that will save lives. It is time to make a difference across the globe by confronting the problem of heart failure.
A call to action: policy recommendations
We urge policymakers at local, national and international levels to collaborate and act on the following recommendations.
Promote heart failure prevention
Support the development and implementation of public awareness programmes about heart failure. These should define heart failure in simple and accessible language, explain how to recognize the symptoms and emphasize that most types of heart failure are preventable.
Highlight the need for healthcare professionals across all clinical disciplines to identify patients with illnesses that increase the risk of heart failure and to prescribe preventive medications.
Prioritize the elimination of infectious diseases in parts of the world where they still cause heart failure.
Improve heart failure awareness amongst healthcare professionals
Encourage the development and use of heart failure education programmes for all appropriate healthcare professionals. These should aim to improve the prevention, diagnosis, treatment and long-term management of heart failure and raise awareness of clinical practice guidelines.
Ensure equity of care for all patients with heart failure
Provide a healthcare system that delivers timely access to diagnostic services and treatment of heart failure, as well as a seamless transition to long-term management.
Ensure that the best available and most appropriate care is consistently provided to all patients with heart failure through efficient use of resources.
Support and empower patients and their caregivers
Provide resources for the education and practical support of patients with heart failure and their families or other caregivers, empowering them to engage proactively in long-term care.
Promote heart failure research
Fund and encourage international collaborative research to improve understanding of the patterns, causes and effects of modern day heart failure and how the disease can be prevented across the globe.
Fund and encourage research into new and more affordable therapies and medical devices for all types of heart failure.
Fund and encourage research into evidence-based healthcare performance measures that reflect improved clinical outcomes for patients with heart failure.read more
Citations
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Journal ArticleDOI
Global Public Health Burden of Heart Failure.
TL;DR: In this article, the authors focus on the global epidemiology of heart failure, providing data about prevalence, incidence, mortality and morbidity worldwide, and show geographic variations, depending on the different aetiologies and clinical characteristics observed among patients with heart failure.
Journal ArticleDOI
Temporal trends and patterns in heart failure incidence: a population-based study of 4 million individuals.
Nathalie Conrad,Andrew Judge,Andrew Judge,Andrew Judge,Jenny Tran,Hamid Mohseni,Deborah Hedgecott,Abel Perez Crespillo,Moira Allison,Harry Hemingway,Harry Hemingway,John G.F. Cleland,John G.F. Cleland,John J.V. McMurray,Kazem Rahimi,Kazem Rahimi +15 more
TL;DR: A moderate decline in standardised incidence of heart failure in the UK is increasing, and is now similar to the four most common causes of cancer combined, while Socioeconomically deprived individuals were more likely to develop heart failure than were affluent individuals.
Journal ArticleDOI
Epidemiology of heart failure.
TL;DR: Evidence suggests that the number of patients with heart failure may be on the rise in low‐income countries struggling under the double burden of communicable diseases and conditions associated with a Western‐type lifestyle, and indicates the end of the epidemic yet is not reached.
Journal ArticleDOI
Reducing the Global Burden of Cardiovascular Disease, Part 1: The Epidemiology and Risk Factors.
Philip Joseph,Darryl P. Leong,Martin McKee,Sonia S. Anand,Jon-David Schwalm,Koon K. Teo,Andrew Mente,Salim Yusuf +7 more
TL;DR: An overview of the current epidemiological data on cardiovascular diseases, its risk factors, and strategies aimed at reducing its burden is provided, and better implementation of evidence-based policies and integrated health systems strategies that improve CVD prevention and management are described.
Journal ArticleDOI
European Society of Cardiology Heart Failure Long-Term Registry (ESC-HF-LT): 1-year follow-up outcomes and differences across regions.
María G. Crespo-Leiro,Stefan D. Anker,Aldo P. Maggioni,Andrew J.S. Coats,Gerasimos Filippatos,Frank Ruschitzka,Roberto Ferrari,Massimo F Piepoli,Juan F. Delgado Jimenez,Marco Metra,Candida Fonseca,Jaromír Hradec,Offer Amir,Damien Logeart,Ulf Dahlström,Béla Merkely,Jarosław Drożdż,Eva Goncalvesova,Mahmoud Hassanein,Ovidiu Chioncel,Mitja Lainscak,Petar M. Seferovic,Dimitris Tousoulis,A Kavoliuniene,Friedrich Fruhwald,Emir Fazlibegovic,A. Temizhan,Plamen Gatzov,Andrejs Erglis,Cécile Laroche,Alexandre Mebazaa +30 more
TL;DR: The European Society of Cardiology Heart Failure Long‐Term Registry (ESC‐HF‐LT‐R) was set up with the aim of describing the clinical epidemiology and the 1‐year outcomes of patients with heart failure with the added intention of comparing differences between countries.
References
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Journal ArticleDOI
2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Clyde W. Yancy,Mariell Jessup,Biykem Bozkurt,Javed Butler,Donald E. Casey,Mark H. Drazner,Gregg C. Fonarow,Stephen A. Geraci,Tamara B. Horwich,James L. Januzzi,Maryl R. Johnson,Edward K. Kasper,Wayne C. Levy,Frederick A. Masoudi,Patrick E. McBride,John J.V. McMurray,Judith E. Mitchell,Pamela N. Peterson,Barbara Riegel,Flora Sam,Lynne W. Stevenson,W.H. Wilson Tang,Emily J. Tsai,Bruce L. Wilkoff +23 more
TL;DR: In this article, Anderson et al. proposed a new FAHA Chair, Jeffrey L. Anderson, MD, FACC, FAHA, Chair-Elect, Alice K. Jacobs et al., this article and Biykem Bozkurt.
Journal ArticleDOI
ESC Guidelines for the Diagnosis And Treatment of Acute And Chronic Heart Failure 2008
Kenneth Dickstein,Alain Cohen-Solal,Gerasimos Filippatos,John J.V. McMurray,Piotr Ponikowski,Philip A. Poole-Wilson,Anna Strömberg,Dirk J. van Veldhuisen,Dan Atar,Arno W. Hoes,Andre Keren,Alexandre Mebazaa,Markku S. Nieminen,Silvia G. Priori,Karl Swedberg +14 more
TL;DR: Authors/Task Force Members: John J. McMurray (Chairperson) (UK), Stamatis Adamopoulos (Greece), Stefan D. Anker (Germany), Angelo Auricchio (Switzerland), Michael Böhm ( Germany), Kenneth Dickstein (Norway), Volkmar Falk (Sw Switzerland), Gerasimos Filippatos (G Greece), Cândida Fonseca (Portugal), Miguel Angel Gomez-Sanchez (Spain).
Journal ArticleDOI
Heart Disease and Stroke Statistics—2010 Update A Report From the American Heart Association
Donald M. Lloyd-Jones,Robert J. Adams,Todd M. Brown,Mercedes R. Carnethon,Shifan Dai,Giovanni de Simone,T. Bruce Ferguson,Earl S. Ford,Karen L. Furie,Cathleen Gillespie,Alan S. Go,Kurt J. Greenlund,Nancy Haase,Susan M. Hailpern,P. Michael Ho,Virginia J. Howard,Brett M. Kissela,Steven J. Kittner,Daniel T. Lackland,Lynda D. Lisabeth,Ariane Marelli,Mary M. McDermott,James B. Meigs,Dariush Mozaffarian,Michael E. Mussolino,Graham Nichol,Véronique L. Roger,Wayne D. Rosamond,Ralph L. Sacco,Paul D. Sorlie,Randall S. Stafford,Thomas Thom,Sylvia Wasserthiel-Smoller,Nathan D. Wong,Judith Wylie-Rosett +34 more
TL;DR: The Statistical Update brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update each year.
Journal ArticleDOI
ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC.
S. Adamopoulos,Stefan D. Anker,Volkmar Falk,Lars Køber,Aldo P. Maggioni,Alexander Parkhomenko,Burkert Pieske,Bogdan A. Popescu,Frans H. Rutten,Juerg Schwitter,Pedro T. Trindade,Adriaan A. Voors,Andreas M. Zeiher +12 more
TL;DR: ESC guidelines for the diagnosis and treatment of acute and chronic heart failure have been developed in collaboration with the Heart Failure Association (HFA) of the ESC 2012 Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 as mentioned in this paper.
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