Heart failure & cardiomyopathiesCross-sectional study

The European Heart Failure Management Resources, Treatment Reimbursement and Activities of Professional and Patient Organizations

Eur J Heart FailPublished

  • Cross-sectional survey
  • 43 European Society of Cardiology (ESC) member countries

Authors' conclusion

It offers a valuable assessment of current management capabilities, highlighting challenges in providing contemporary standards of care.

Study context

Population
ESC member countries: Heart Failure (HF) management resources, reimbursement of HF drugs/devices, HF professional and patient organizations
Participants
43 ESC member countries

Main finding

As reported in the abstract

HF resources per million people
Hospitals with dedicated HF centres per million people, median (IQR 0.9-4.7)
2.6
ED with natriuretic peptide assessment per million people, median (IQR 1.8-10.6)
6.1
Hospitals with natriuretic peptide assessment per million people, median (IQR 1.3-14.7)
8.2
Hospitals with CMR per million people, median (IQR 0.9-3.8)
2.0
Hospitals with short-term mechanical circulatory support per million people, median (IQR 0.5-2.4)
1.1
Hospitals with long-term mechanical circulatory support per million people, median (IQR 0.0-0.5)
0.4
Hospitals with heart transplantation per million people, median (0.2-0.5)
0.3

Observational data: associations, not effects.

Further findings

Medication availability and reimbursement

Essential HF medications mostly available and reimbursed; gaps in availability and funding of newer and advanced therapies
Density of all diagnostic and therapeutic capabilities greater in countries with more favourable socioeconomic status

HF organizations

Countries with national HF societies
98%
Countries with HF patient organizations
45%

Original publication

The European Heart Failure Management Resources, Treatment Reimbursement and Activities of Professional and Patient Organizations. Eur J Heart Fail. Published 17 June 2025. doi:10.1002/ejhf.3691

Summarised from the published abstract; every number is checked against it