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[From diagnostic and therapeutic guidelines to clinical practice in Brazil]
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.
Abstract:
Heart failure (HF) is a clinical syndrome of high incidence and high prevalence all over the world. Available therapeutic options for chronic HF slow the progression of ventricular remodeling and decrease the number of arrhythmic deaths; the resulting increased life expectancy leads to a higher prevalence of heart failure in the community and a higher number of hospital admissions. In Brazil, the largest country in Latin America, hospital admissions due to HF represent approximately 4% of all hospitalizations and 31% of hospitalizations for cardiovascular diseases. Brazilian cardiologists are increasingly following, the Brazilian Society of Cardiology Guidelines on Heart Failure, which are very similar to other international guidelines. Differences between the public and private health systems in our country, although, compromise the compliance of patients to HF treatment, decreasing the efficacy of treatment in the lower social classes.
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