Heart failure in the Middle East

Mostafa Q Al-Shamiri1

  • 1Department of Cardiac Science, King Fahad Cardiac Center, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia. mshamiri@hotmail.com

Insights

Heart failure is a growing global health issue. Middle Eastern nations face earlier onset of heart failure due to increased risk factors, necessitating improved prevention and healthcare strategies.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Heart failure (HF) is a significant global cause of illness and death, impacting diverse patient populations.
  • Advancements in diagnostic and therapeutic technologies offer new management options for HF.
  • Regional initiatives in the Middle East are emerging to assess and enhance HF care quality.

Purpose of the Study:

  • To review the current state of heart failure care in the Middle East.
  • To identify trends in HF prevalence and risk factors within the Middle Eastern population.
  • To recommend improvements in healthcare systems and research funding for heart failure.

Main Methods:

  • Analysis of regional and multi-center registries for heart failure patients.
  • Evaluation of data from a newly established heart function clinic.
  • Review of epidemiological trends in risk factors such as diabetes, obesity, and hypertension.

Main Results:

  • A new heart function clinic demonstrated a reduction in heart failure readmission rates.
  • Middle Eastern populations experience earlier onset of heart failure (by ~10 years) compared to Western populations.
  • Increased prevalence of risk factors like diabetes mellitus, obesity, and hypertension is observed.

Conclusions:

  • The earlier onset of heart failure in the Middle East is linked to premature coronary artery disease.
  • There is a critical need for enhanced prevention programs targeting all age groups in the Middle East.
  • Modifications to health systems, expansion of registries, and increased research funding are essential for improving evidence-based heart failure care.

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