Key result
Improving quality of care could reduce mortality in acute heart failure, with routine assessment of NYHA classification suggested as a low-cost strategy.
Routine assessment of NYHA classification is suggested as a low-cost strategy to improve quality of care in acute heart failure, particularly in low-income countries.
The REPORT-HF registry evaluated the quality of care (QoC) in acute heart failure and its association with outcomes across 44 countries.1 The authors conclude that improving QoC could reduce mortality in acute heart failure. While this is a reasonable assertion, specific recommendations for how low-income countries can achieve this improvement are needed.2,3 Among targeted strategies for quality improvement that may increase the practical impact, it is suggested that NYHA classification (despite its limitations) and its routine assessment in HF with minimal cost should be promoted.
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Guglieri et al. (2025) conducted a letter in Acute heart failure. Quality of care (QoC) was evaluated on Mortality. Improving quality of care could reduce mortality in acute heart failure, with routine assessment of NYHA classification suggested as a low-cost strategy.
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