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[From diagnostic and therapeutic guidelines to clinical practice in Brazil]

Fábio Vilas-Boas1

  • 1Presidente do Grupo de Estudos em Insuficiência Cardíaca Sociedade Brasileira de Cardiologia, Salvador, Brasil. fabiovboas@hospitalalianca.com.br

Insights

Heart failure (HF) affects millions globally, with Brazil seeing significant hospital admissions. Socioeconomic disparities impact treatment adherence and outcomes in heart failure patients.

Area of Science:

  • Cardiology and Public Health

Context:

  • Heart failure (HF) is a global health concern with high incidence and prevalence.
  • Increased life expectancy due to improved treatments results in a higher prevalence of HF in the community.
  • In Brazil, HF accounts for 4% of all hospitalizations and 31% of cardiovascular disease hospitalizations.

Purpose:

  • To analyze the current landscape of heart failure management in Brazil.
  • To highlight the adherence to Brazilian Society of Cardiology Guidelines on Heart Failure.
  • To identify challenges in HF treatment compliance, particularly socioeconomic disparities.

Summary:

  • Brazilian cardiologists largely follow international guidelines for chronic heart failure (HF) management.
  • Therapeutic options aim to slow ventricular remodeling and reduce mortality.
  • Disparities between public and private healthcare systems impede patient compliance, especially in lower social classes.

Impact:

  • Understanding these disparities is crucial for improving HF patient outcomes in Brazil.
  • The findings can inform public health policies to enhance equitable access to HF care.
  • Addressing socioeconomic barriers is essential for optimizing the efficacy of heart failure treatments.

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