Back to Search Start Over

Regional expert opinion: Management of heart failure with preserved ejection fraction in the Middle East, North Africa and Turkey.

Regional expert opinion: Management of heart failure with preserved ejection fraction in the Middle East, North Africa and Turkey.

Authors :
Abdelhamid, Magdy
Al Ghalayini, Kamal
Al‐Humood, Khaldoon
Altun, Bülent
Arafah, Mohammed
Bader, Feras
Ibrahim, Mohamed
Sabbour, Hani
Shawky Elserafy, Ahmed
Skouri, Hadi
Yilmaz, Mehmet Birhan
Source :
ESC Heart Failure; Oct2023, Vol. 10 Issue 5, p2773-2787, 15p
Publication Year :
2023

Abstract

Although epidemiological data on heart failure (HF) with preserved ejection fraction (HFpEF) are scarce in the Middle East, North Africa and Turkey (MENAT) region, Lancet Global Burden of Disease estimated the prevalence of HF in the MENAT region in 2019 to be 0.78%, versus 0.71% globally. There is also a high incidence of HFpEF risk factors and co‐morbidities in the region, including coronary artery disease, diabetes, obesity, hypertension, anaemia and chronic kidney disease. For instance, 14.5–16.2% of adults in the region reportedly have diabetes, versus 7.0% in Europe. Together with increasing life expectancy, this may contribute towards a higher burden of HFpEF in the region than currently reported. This paper aims to describe the epidemiology and burden of HFpEF in the MENAT region, including unique risk factors and co‐morbidities. It highlights challenges with diagnosing HFpEF, such as the prioritization of HF with reduced ejection fraction (HFrEF), the specific profile of HFpEF patients in the region and barriers to effective management associated with the healthcare system. Guidance is given on the diagnosis, prevention and management of HFpEF, including the emerging role of sodium‐glucose co‐transporter‐2 inhibitors. Given the high burden of HFpEF coupled with the fact that its prevalence is likely to be underestimated, healthcare professionals need to be alert to its signs and symptoms and to manage patients accordingly. Historically, HFpEF treatments have focused on managing co‐morbidities and symptoms, but new agents are now available with proven effects on outcomes in patients with HFpEF. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
20555822
Volume :
10
Issue :
5
Database :
Complementary Index
Journal :
ESC Heart Failure
Publication Type :
Academic Journal
Accession number :
172960077
Full Text :
https://doi.org/10.1002/ehf2.14456