Key result
Routine HF management diverges from guidelines, with only ~16% of patients improving class at one year.
Why the study?
The practical management of heart failure patients in routine outpatient settings in Russia and its adherence to clinical guidelines were unclear.
Observational (n=888)
Yes
Real-world management of heart failure in the Russian Federation reveals significant underutilization of guideline-directed medical therapies, resulting in limited clinical improvement.
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HF costs driven by hospitalizations and disability rather than drugs highlight system burden; leaves open whether optimized outpatient strategies reduce expenditures.
Недогода et al. (2021) conducted an observational in Heart failure (n=888). Routine management was evaluated on Improvement in heart failure class by 1 or more. Routine management of heart failure in clinical practice differed significantly from guidelines, with only 16% of patients showing improvement in HF class over 1 year.
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