Understanding the Practice Pattern of Heart Failure Management in India - A Real World Survey
Journal of Cardiac Failure（2025）
Sengupta Hospital and Research Institute
Abstract
Background Significant gains have been made in the management of heart failure (HF), but real world implementation remains unclear. We aimed to explore the current practice pattern of management of HF in India which is a Low-middle income country. Methods and Results The Heart Failure Association of India distributed an electronic survey to understand the practice patterns of heart failure management. Clinical implementation of HF guidelines and practice patterns of HF management were investigated in a nationwide open-access online survey of. Participants (5012 respondents from 29 states, 86% males) from private hospitals (60%), tertiary hospitals (16%), public hospitals (14%) were represented. 53% were physicians, 44% were cardiologists and 2% were endocrinologists. 61% of respondents used NTproBNP as a choice of biomarker for HF management. 38% of respondents used ESC HF guidelines, while 35% used ACC consensus statement on HF. HFrEF was the commonest HF type encountered. (figure1). Only 25% of respondents assessed quality of life (QoL) by Minnesota living with heart failure questionnaire for their HF patients. 66% of respondents reported that sarcopenia was seen in 1/4thof their HF patients, while 68% thought that atrial fibrillation is seen in 1/4th of HF patients. 50% of respondents reported that 1/4th of their HF patients had renal dysfunction. Conclusion This large survey provides for the first time in-depth insights about practice patterns of HF management in a developing country like India and will provide us ideas about better HF managment in this part of the world.
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