How to tackle therapeutic inertia in heart failure with reduced ejection fraction. A scientific statement of the Heart Failure Association of the ESC
Savarese, Gianluigi (Karolinska University Hospital and Karolinska Institutet (Suècia))
Lindberg, Félix (Karolinska University Hospital and Karolinska Institutet (Suècia))
Cannata, Antonio (King's College Hospital NHS Foundation Trust)
Chioncel, O. (University of Medicine Carol Davila (Bucarest, Rumania))
Stolfo, Davide (Azienda Sanitaria Universitaria Integrata di Trieste)
Musella, Francesca (Santa Maria delle Grazie Hospital (Nàpols, Itàlia))
Tomasoni, Daniela (University of Brescia)
Abdelhamid, Magdy (Cairo University)
Banerjee, Debasish (St George's University (Londres, Regne Unit))
Bayés-Genís, Antoni (Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Berthelot, Emmanuelle (Hôpital Bicêtre)
Braunschweig, Frieder (Karolinska University Hospital)
Coats, Andrew Justin Stewart (Heart Research Institute (Austràlia))
Girerd, Nicolas (Université de Lorraine (França))
Jankowska, Ewa A. (Wroclaw Medical University and Institute of Heart Diseases (Polònia))
Hill, Loreena (Queen's University (Belfast, Regne Unit))
Lainscak, Mitja (University of Ljubljana (Ljubljana, Eslovènia))
Lopatin, Yury (Volgograd State Medical University (Rússia))
Lund, Lars H. (Karolinska University Hospital and Karolinska Institutet (Suècia))
Maggioni, Aldo P. (ANMCO Research Center. Heart Care Foundation)
Moura, Brenda (University of Porto)
Rakisheva, Amina (City Cardiology Center. Konaev City Hospital)
Ray, Robin (St George's University Hospital (Londres, Regne Unit))
Seferovic, Petar M. (University of Belgrade)
Skouri, Hadi (Balamand University School of Medicine (Belgrad, Sèrbia))
Vitale, Cristiana (St George's University Hospital (Londres, Regne Unit))
Volterrani, Maurizio (IRCCS San Raffaele Roma)
Metra, Marco (University of Brescia)
Rosano, Giuseppe M.C. (San Raffaele Hospital)

Data:	2024
Resum:	Guideline-directed medical therapy (GDMT) in patients with heart failure and reduced ejection fraction (HFrEF) reduces morbidity and mortality, but its implementation is often poor in daily clinical practice. Barriers to implementation include clinical and organizational factors that might contribute to clinical inertia, i. e. avoidance/delay of recommended treatment initiation/optimization. The spectrum of strategies that might be applied to foster GDMT implementation is wide, and involves the organizational set-up of heart failure care pathways, tailored drug initiation/optimization strategies increasing the chance of successful implementation, digital tools/telehealth interventions, educational activities and strategies targeting patient/physician awareness, and use of quality registries. This scientific statement by the Heart Failure Association of the ESC provides an overview of the current state of GDMT implementation in HFrEF, clinical and organizational barriers to implementation, and aims at suggesting a comprehensive framework on how to overcome clinical inertia and ultimately improve implementation of GDMT in HFrEF based on up-to-date evidence.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Publicat a:	European Journal of Heart Failure, Vol. 26 Núm. 6 (june 2024) , p. 1278-1297, ISSN 1879-0844

DOI: 10.1002/ejhf.3295

20 p, 1.4 MB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Articles > Articles de recerca
Articles > Articles publicats