Patient Perceptions and Familiarity With Medical Therapy for Heart Failure
Key result
In a survey of 429 US adults with heart failure, only 24.9% reported familiarity with angiotensin receptor-neprilysin inhibitors or mineralocorticoid receptor antagonists.
Why the study?
Major gaps exist in guideline-directed medical therapy (GDMT) use for heart failure, and patient-reported data outlining goals and preferences associated with GDMT are not available.
Population
429 adults with chronic HF taking HF medications without LVAD or transplant
Design
Probability-sampled online panel survey study
Authors
Discussion
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Member takes
Implication
Highlights potential gaps in patient counseling on GDMT; leaves open whether enhanced education improves adherence.
Study Design
Type
Cross-Sectional (n=429)
Structured PICO
P
Population
429 English-speaking US adults with heart failure currently taking HF medications, surveyed about their familiarity and concerns with guideline-directed medical therapies.
E
Exposure
Survey assessing familiarity, perceptions, and concerns regarding guideline-directed medical therapy for heart failure
O
Outcome
Patient-reported relative importance of disease-related goals, challenges living with HF, decision-making process for HF medication use, and awareness/concerns about available HF medicationspatient reported
A significant proportion of patients with heart failure are unfamiliar with key GDMT classes like ARNIs and MRAs, and many have concerns about their safety and effectiveness, indicating a need for better patient education.
Cite This Study
Samsky et al. (2019) conducted a cross-sectional in Heart failure (n=429). Guideline-directed medical therapy (GDMT) for heart failure was evaluated on Familiarity and concerns with HF medications. In a survey of 429 US adults with heart failure, only 24.9% reported familiarity with angiotensin receptor-neprilysin inhibitors or mineralocorticoid receptor antagonists.