Improving implementation of evidence-based therapies for heart failure.
Adam D DeVoreHayden Barry BosworthBradi B GrangerPublished in: Clinical cardiology (2022)
Treatment options for patients with heart failure have improved rapidly over the last few decades. Data from large scale clinical trials demonstrate that medical and device therapies can improve quality of life, reduce hospitalizations for acute heart failure, and reduce mortality. However, the use of many of these therapies in routine practice is remarkably low. There are many reasons for suboptimal implementation of evidence-based therapies for heart failure, and we believe addressing the large gap between what can be accomplished in clinical trials versus routine practice is a critical and urgent public health issue. In this review, we outline reasons for this implementation gap and review recent studies attempting to address this issue. We also provide recommendations for future interventions and areas of clinical investigation to improve implementation for patients with heart failure.
Keyphrases
- primary care
- healthcare
- heart failure
- acute heart failure
- clinical trial
- quality improvement
- public health
- clinical practice
- left ventricular
- physical activity
- cardiovascular disease
- cardiovascular events
- type diabetes
- big data
- deep learning
- artificial intelligence
- cardiac resynchronization therapy
- study protocol
- global health