Heart failure & cardiomyopathies
Physician Perceptions, Attitudes, and Strategies Towards Implementing Guideline-Directed Medical Therapy in Heart Failure with Reduced Ejection Fraction. A Survey of the Heart Failure Association of the ESC and the ESC Council for Cardiology Practice
Authors' conclusion
Although comfort with implementing all four core drug classes in patients with HFrEF was high among physicians, a majority estimated implementation of GDMT in HFrEF to be low.
Study context
- Population
- Physicians with an interest in heart failure (HF), 91 countries
- Participants
- 432 physicians91 countries
- Outcome
- Perceived comfort with implementing HFrEF guideline recommendations, guideline-directed medical therapy (GDMT) implementation status, sequencing strategies, and barriers
Methodological detailssurvey, 26-question survey disseminated via bulletin, e-mail and social channels
- Survey
- 26-question survey disseminated via bulletin, e-mail and social channels
Main finding
As reported in the abstract
- Overall comfort with implementing quadruple therapy
- 87%
- Estimated that >90% of HFrEF patients without contraindications received quadruple therapy
- 12%
- Estimated time to initiate quadruple therapy: 1-2 weeks
- 34%
- Estimated time to initiate quadruple therapy: 1 month
- 36%
- Estimated time to initiate quadruple therapy: 3 months
- 24%
- Estimated time to initiate quadruple therapy: ≥6 months
- 6%
- Perceived clinical barrier: hypotension
- 70%
- Perceived clinical barrier: creatinine increase
- 47%
- Perceived clinical barrier: hyperkalaemia
- 45%
- Perceived clinical barrier: patient adherence
- 42%
Observational data: associations, not effects.
Original publication
Physician Perceptions, Attitudes, and Strategies Towards Implementing Guideline-Directed Medical Therapy in Heart Failure with Reduced Ejection Fraction. A Survey of the Heart Failure Association of the ESC and the ESC Council for Cardiology Practice. Eur J Heart Fail. Published 22 March 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →