Organizing medical care for patients with chronic heart failure in Russia regions with a low population density

The prevalence of chronic heart failure (CHF) has remained high over the past decades and continues to grow. CHF patients are treated using proven disease-modifying agents and novel drugs that improve the outcomes of CHF with a low ejection fraction. Monitoring of clinical practice using heart failure registers, educational activities for doctors and nurses, training and involvement of patients, organization of continual medical care, and preferential drug provision can also contribute to improving the prognosis of CHF patients. Treatment of CHF patients living in regions of our country with a low population density, mainly belonging to the Russian North and the Arctic territories, has specific features due to a high risk of developing cardiovascular diseases and insufficient accessibility of cardiac care. One of the ways to optimize the medical care provided to CHF patients in these regions may be establishing a cardiovascular risk management system. This review analyzes the results of original studies on the current problems of medical care for CHF patients.