Heart failure & cardiomyopathies

Global Differences in Acute Heart Failure Treatment: Analysis of the STRONG-HF Site Feasibility Questionnaire

ESC Heart FailPublished Cross-sectional study

Authors' conclusion

In this analysis of feasibility questionnaires, most sites reported general adherence to ESC guidelines for treatment and management of AHF patients although percutaneous and device therapy was less common outside Europe and follow-up after discharge took place late and was not as extensive as recommended.

Study context

Population
Sites approached for the STRONG-HF study treating acute heart failure, February 2018–May 2021sites in 20 countries
Participants
158 participants
Exposure
In-hospital acute heart failure (AHF) treatment and management across five regions vs ESC guidelines
Outcome
Standard in-hospital AHF treatment and management compared with current clinical guidelines and across regions
Methodological detailssite feasibility questionnaire, multicentre, 158 sites in 20 countries
  • Site feasibility questionnaire
  • Multicentre
  • 158 sites in 20 countries

Main finding

As reported in the abstract

Significant regional differences in reported % of AHF patients receiving ACEi, mostly due to more ARB and ARNI prescription in South America and Western Europe
P < 0.001

Observational data: associations, not effects.

Original publication

Global Differences in Acute Heart Failure Treatment: Analysis of the STRONG-HF Site Feasibility Questionnaire. ESC Heart Fail. Published 19 April 2023. doi:10.1002/ehf2.14370

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