Implementation of guideline-recommended medical therapy for patients with heart failure in Europe
Volterrani, M. (San Raffaele Open University of Rome)
Seferovic, P. (University of Belgrade)
Savarese, G. (Karolinska University Hospital)
Spoletini, I. (IRCCS San Raffaele Roma)
Imbalzano, E. (University of Messina)
Bayés-Genís, Antoni 
(Institut Germans Trias i Pujol. Hospital Universitari Germans Trias i Pujol)
Jankowska, E. (Wroclaw Medical University)
Senni, M. (ASST Papa Giovanni XXIII (Bergamo, Itàlia))
Metra, M. (University of Brescia)
Chioncel, O.
(Emergency Institute for Cardiovascular Diseases 'Prof. C.C. Iliescu')
Coats, A.J.S. (University of Warwick)
Rosano, G.M.C. (San Raffaele Cassino Hospital)
Universitat Autònoma de Barcelona
| Date: |
2025 |
| Abstract: |
Physicians' adherence to guideline-recommended heart failure (HF) treatment remains suboptimal, especially regarding the target doses. In particular, there is evidence that non-cardiologists are less compliant with HF guideline recommendations. This is likely to have a detrimental impact on patients' survival, readmissions and quality of life. Thus, the present document aims to address the reasons underlying low implementation and under-dosing of guideline-directed medical therapy in HF and to update a guidance for the initiation and rapid titration of HF drugs. In particular, aim of this document is to provide practical indications for drug implementation, to be applied not only by cardiologists but also by GPs and internal medicine doctors. |
| Rights: |
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.  |
| Language: |
Anglès |
| Document: |
Article de revisió ; recerca ; Versió publicada |
| Subject: |
Guideline-directed medical therapy ;
Heart failure ;
Phenotypes ;
Worsening heart failure |
| Published in: |
ESC Heart Failure, Vol. 12 Núm. 2 (april 2025) , p. 790-798, ISSN 2055-5822 |
DOI: 10.1002/ehf2.15105
PMID: 39632549
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Record created 2025-05-14, last modified 2025-08-08