Digital solutions to optimize guideline-directed medical therapy prescription rates in patients with heart failure: a clinical consensus statement from the ESC Working Group on e-Cardiology, the Heart Failure Association of the European Society of Cardiology, the Association of Cardiovascular Nursing & Allied Professions of the European Society of Cardiology, the ESC Digital Health Committee, the ESC Council of Cardio-Oncology, and the ESC Patient Forum

European Heart Journal - Digital Health, Journal Year: 2024, Volume and Issue: 5(6), P. 670 - 682

Published: Aug. 30, 2024

Abstract The 2021 European Society of Cardiology guideline on diagnosis and treatment acute chronic heart failure (HF) the 2023 Focused Update include recommendations pharmacotherapy for patients with New York Heart Association (NYHA) class II–IV HF reduced ejection fraction. However, multinational data from EVOLUTION study found substantial prescribing inertia guideline-directed medical therapy (GDMT) in clinical practice. cause was multifactorial included limitations organizational resources. Digital solutions like digital consultation, remote monitoring, interrogation cardiac implantable electronic devices, decision support systems, multifaceted interventions are increasingly available worldwide. objectives this Clinical Consensus Statement to provide (i) examples that can aid optimization prescription GDMT, (ii) evidence-based insights GDMT using solutions, (iii) current evidence gaps implementation barriers limit adoption practice, (iv) critically discuss strategies achieve equality access, reference patient subgroups. Embracing through use consults monitoring will future-proof, example alerts clinicians, informing them suboptimal GDMT. Researchers should consider employing optimize effectiveness designs fit unique sociotechnical aspects solutions. Artificial intelligence handle larger sets relieve professionals’ workloads, but as artificial limited, further investigation is warranted.

Language: Английский

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European Journal of Heart Failure, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 20, 2025

Language: Английский

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European Journal of Heart Failure, Journal Year: 2025, Volume and Issue: 27(2), P. 185 - 189

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Language: Английский