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Published on: July 12, 2024
Creating a better journey of care for patients with heart valve disease
Marta Sitges1, Britt Borregaard2,3, Ruggero De Paulis4
1Cardiovascular Institute, Hospital Clinic of Barcelona, Universitat de Barcelona, Barcelona, Spain.
Insights
Heart valve disease is a growing concern, projected to triple by 2060. Early detection and treatment are crucial for improving patient outcomes and reducing healthcare costs.
Area of Science:
- Cardiology
- Public Health
- Health Policy
Background:
- Heart valve disease prevalence is rapidly increasing due to population aging, posing a significant public health challenge.
- Despite effective treatments, the condition suffers from limited research, data scarcity, and low public awareness compared to other cardiovascular diseases.
- Delayed diagnosis and treatment lead to poor quality of life, increased mortality, and substantial healthcare costs.
Purpose of the Study:
- To highlight the escalating epidemic of heart valve disease.
- To underscore the critical need for early detection, timely intervention, and improved patient care pathways.
- To advocate for policy actions that address gaps in diagnosis and treatment.
Main Methods:
- This study is a review and analysis of current data and trends in heart valve disease.
- It synthesizes information on prevalence, impact, and existing treatment options.
- It identifies critical gaps in the patient care pathway and proposes policy recommendations.
Main Results:
- Prevalence of heart valve disease is expected to double by 2040 and triple by 2060.
- Significant gaps exist in early detection, diagnosis, and timely treatment, leading to adverse patient outcomes.
- Effective interventions are available but underutilized due to systemic issues.
Conclusions:
- Addressing heart valve disease requires a multi-faceted policy approach focusing on early detection, timely intervention, and patient-centered care.
- Improved data collection and patient empowerment are essential for better management of this growing cardiac condition.
- Strengthening health systems to ensure prompt diagnosis and care is vital, especially in the post-pandemic era.
Abstract:
Heart valve disease has been described as 'the next cardiac epidemic', with prevalence expected to double by 2040 and triple by 2060 due to the ageing of the population. Yet until now, it has been characterized by scarce data, limited research, and low general awareness compared with other cardiovascular diseases. Effective treatment options exist for heart valve disease, and early detection and treatment can dramatically change disease progression, improve quality of life, and reduce mortality. Unfortunately, in too many patients, heart valve disease is undetected, undiagnosed, untreated, or treated too late, leading to avoidable deaths and costs, and significant compromises to people's quality of life. These gaps in the patient pathway can be remedied through appropriate policy action, with a focus on: early detection and diagnosis; timely intervention; patient-centred follow-up care; patient engagement and empowerment; psychological support; and better data to guide practice. Ensuring all patients have access to appropriate diagnosis and care without delays is imperative as we look towards rebuilding stronger and more resilient health systems, and 'build back better' after the coronavirus disease-19 pandemic.
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