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Heart failure in the Middle East
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.
Abstract:
The clinical syndrome of heart failure is the final pathway for a myriad of diseases that affect the heart, and is a leading and growing cause of morbidity and mortality worldwide. Evidence-based guidelines have provided clinicians with valuable data for better applying diagnostic and therapeutic tools, particularly the overwhelming new imaging technology and other, often expensive, therapies and devices, in heart failure patients. In the Middle East, progress has recently been made with the development of regional and multi-centre registries to evaluate the quality of care for patients with heart failure. A new heart function clinic recently began operation and has clearly resulted in a reduced readmission rate for heart failure patients. Many Middle Eastern countries have observed increases in the prevalence of the risk factors for the development of heart failure, including diabetes mellitus, obesity, and hypertension, with heart failure in the Middle Eastern population developing earlier than it is in their Western counterparts by at least 10 years. The earlier onset of disease is the result of the earlier onset of coronary artery disease, highlighting the need for Middle Eastern countries to establish prevention programs across all age groups. The health systems across the Middle East need to be modified in order to provide improved evidence-based medical care. Existing registries also need to be expanded to include long-term survey data, and additional funding for heart failure research is warranted.
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