Knowledge and application of ESC/HFA guidelines in the management of advanced heart failure

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dc.authorid0000-0002-9798-9796
dc.contributor.authorBaudry, Guillaume
dc.contributor.authorGirerd, Nicolas
dc.contributor.authorCikes, Maja
dc.contributor.authorCrespo-Leiro, Maria Generosa
dc.contributor.authorDamman, Kevin
dc.contributor.authorDelmas, Clement
dc.contributor.authorGustafsson, Finn
dc.contributor.authorNalbantgil, Sanem
dc.date.accessioned2025-03-19T08:20:02Z
dc.date.available2025-03-19T08:20:02Z
dc.date.issued2024
dc.departmentEge Üniversitesi, Tıp Fakültesi, Dahili Bilimler Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractAims Management of advanced heart failure (HF) remains challenging despite specific sections in the 2021 European Society of Cardiology/Heart Failure Association (ESC/HFA) guidelines, with delays in referrals exacerbating the issue. This study aimed to evaluate the awareness and implementation of these guidelines among cardiologists and identify barriers to effective referral. Methods and results From June to October 2023, an online survey was disseminated through the ESC mailing list, targeting cardiologists across Europe. The survey investigated four areas: guideline awareness, healthcare network organization, clinical case management, and perceptions of mechanical circulatory support (MCS) outcomes. Respondents were categorized into heart failure cardiologists (HFCs), general cardiologists (GCs), and other participants (OPs). Among 497 respondents, 25% were heart HFCs, 40% were GCs, and 35% were OPs. A total of 84% of HFCs reported a high level of guideline knowledge, compared to 57% of GCs and 62% of OPs (p < 0.001). Additionally, 76% of HFCs 'regularly or always' used ESC/HFA criteria to identify advanced HF, compared to 44% of GCs and 48% of OPs (p < 0.001). Correct responses regarding the recommendation class for heart transplantation were 84%, 55%, and 60% (p < 0.0001), and for MCS as a bridge to transplantation, 69%, 65%, and 55% (p = 0.018) among HFCs, GCs, and OPs, respectively. Referring patients with severe HF to a tertiary centre team was found to be 'very difficult' or 'difficult' by 8.4% of HFCs, 19.6% of GCs, and 18.2% of OPs (p = 0.0005). Conclusion The study highlights significant disparities in knowledge and application of advanced HF guidelines among cardiologists, revealing an opportunity for educational initiatives. The difficulty in referring patients to tertiary centres underscores the need to improve the referral pathway for advanced HF patients.
dc.identifier.citationBaudry, G., Girerd, N., Cikes, M., Crespo-Leiro, M. G., Damman, K., Delmas, C., Adamopoulos, S., Nalbantgil, S., Lim, H. S., Ruschitzka, F., Metra, M., & Gustafsson, F. (2024). Knowledge and application of ESC/HFA guidelines in the management of advanced heart failure. European Journal of Heart Failure.
dc.identifier.doi10.1002/ejhf.3530
dc.identifier.endpage10
dc.identifier.issn1388-9842
dc.identifier.issueNov
dc.identifier.pmid39563177
dc.identifier.scopus2-s2.0-85209775931
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1002/ejhf.3530
dc.identifier.urihttps://hdl.handle.net/11454/116809
dc.identifier.wosWOS:001359979500001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorNalbantgil, Sanem
dc.institutionauthorid0000-0002-9798-9796
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofEuropean Journal of Heart Failure
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAdvanced heart failure
dc.subjectCardiologist education
dc.subjectESC/HFA guidelines
dc.subjectHealthcare networks
dc.subjectMechanical circulatory support
dc.subjectTransplantation
dc.titleKnowledge and application of ESC/HFA guidelines in the management of advanced heart failure
dc.typeArticle

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