Key result
Standard heart failure paradigms fail to adequately serve Indigenous Australians due to sociocultural and access barriers.
This narrative review highlights the significant treatment gaps and impediments to optimizing chronic heart failure care for Indigenous Australians.
May warrant culturally adapted HF care for Indigenous Australians; leaves open optimal strategies pending tailored prospective research.
Chronic heart failure (CHF) among Aboriginal/Indigenous Australians is endemic. There are also grave concerns for outcomes once acquired. This point is compounded by a lack of prospective and objective studies to plan care. To capture the essence of the presented topic it is essential to broadly understand Indigenous health. Key words such as ‘worsening’, ‘gaps’, ‘need to do more’, ‘poorly studied’, or ‘future studies should inform’ occur frequently in contrast to CHF research for almost all other groups. This narrative styled opinion piece attempts to discuss future directions for CHF care for Indigenous Australians. We provide a synopsis of the problem, highlight the treatment gaps, and define the impediments that present hurdles in optimising CHF care for Indigenous Australians.
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Iyngkaran et al. (2016) conducted a review in Chronic heart failure. Current Western medical treatment paradigms for chronic heart failure fail to optimally serve Indigenous Australians due to complex sociocultural barriers, geographic isolation, and an absence of tailored prospective research.
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