Heart failure & cardiomyopathies
Diagnostic and Therapeutic Practice for Heart Failure with Preserved Ejection Fraction (HFpEF) Across Continents and Regions: An International Survey
Authors' conclusion
There are considerable global variations in the diagnosis and management of HFpEF. Most physicians favour SGLT2i despite regional disparities in health care resources and guideline adherence.
Study context
- Population
- Physicians (cardiologists and non-cardiologists) from 91 countries managing HFpEF, surveyed 1 May–1 July 2023
- Participants
- 1,459 physicians91 countries
- Exposure
- Cardiologists vs Non-cardiologists
- Cardiologistsn = 1,242
- Non-cardiologistsn = 217
- Outcome
- Worldwide variations in diagnosis and treatment of HFpEF
Methodological detailsinternational web-based survey, Mean age of respondents 42 (34-49) years; 61% male
- International web-based survey
- Mean age of respondents 42 (34-49) years; 61% male
Main finding
As reported in the abstract
- HFpEF defined as LVEF ≥50%
- 89.2%
- Significant regional variations in HFpEF management
- P < 0.001
- HFpEF patients managed by cardiologists overall (significant regional variability)
- 63.1%
- Natriuretic peptide use, Africa
- 70%-74%
- Natriuretic peptide use, Southern/Western Europe
- 95%-97%
- Diastolic stress testing, South-Eastern Asia
- 47%
- Diastolic stress testing, elsewhere
- 13-36%
- HFpEF scoring systems, South-Eastern Asia
- 78%
- HFpEF scoring systems, Africa
- 30.1%
- Always routine angiograms, Eastern Asia
- 52%
- Always routine angiograms, Northern Europe
- 12%
- SGLT2i preferred first-line treatment (across regions), followed by diuretics
- 45%-70%
- Ideal setting: primarily SGLT2i
- 52%
- Ideal setting: loop diuretics
- 33%
- Ideal setting: beta-blockers
- 22%
- SGLT2i availability (most available, overall)
- 88%
- ARNI availability (least available)
- 61%
- Multidisciplinary HF programmes, Asia
- 70%
- Multidisciplinary HF programmes, Africa
- 24%
Observational data: associations, not effects.
Original publication
Diagnostic and Therapeutic Practice for HFpEF Across Continents and Regions: An International Survey. ESC Heart Fail. Published 1 October 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →