Journal Article Review Ppublish
PubMed: 41789668 DOI: 10.1093/ejhf/xuag060
Enhancing heart failure care through registries: lessons learned from Nordic Countries' implementation of guidelines.
Eur J Heart Fail 28(4):621-630
Authors: Peder L Myhre, Felix Lindberg, Brian B Løgstrup, Inga J Ingimarsdottir, Maria Vistnes, Inge Schjødt, Charlotta Ljungman, Gianluigi Savarese, Nadia P Dridi, Hafsteinn Einarsson, Tomas Mellberg, Kristian Berge, Alexandre Mebazaa, Lars H Lund
Affiliations
- Department of Cardiology, Division of Medicine, Akershus University Hospital, Sykehusveien 25, 1478 Lørenskog, Norway. Institute of Clinical Medicine, University of Oslo, PO Box 1171-Blindern, Oslo 0318, Norway. Department of Cardiology, Oslo University Hospital, Sognsvannsveien 20, 0372 Oslo, Norway.
- Department of Clinical Science and Education, Södersjukhuset; Karolinska Institutet, Stockholm, Sweden.
- Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
- Department of Cardiology, Landspítali-The National University Hospital of Iceland, Reykjavík, Iceland. Department of Health Sciences, Faculty of Medicine, University of Iceland, Reykjavík, Iceland.
- Institute of Clinical Medicine, University of Oslo, PO Box 1171-Blindern, Oslo 0318, Norway. Department of Cardiology, Oslo University Hospital, Sognsvannsveien 20, 0372 Oslo, Norway.
- Department of Molecular and Clinical Medicine, University of Gothenburg, Göteborg, Sweden. Department of Cardiology, Sahlgrenska University Hospital, Goteborg, Sweden.
- Department of Cardiology, Sjællands Universitetshospital, Roskilde, Denmark.
- Department of Computer Science, University of Iceland, Reykjavík, Iceland.
- Department of Cardiology, Division of Medicine, Akershus University Hospital, Sykehusveien 25, 1478 Lørenskog, Norway. Institute of Clinical Medicine, University of Oslo, PO Box 1171-Blindern, Oslo 0318, Norway.
- Faculty of Health, Université Paris Cité, Paris, France. Department of Scientific Research, UMRS 942 MASCOT, Paris, France. Department of Anesthesiology, Burn and Critical Care Medicine, Hôpitaux Universitaires Saint-Louis-Lariboisière, Assistance Publique-Hôpitaux de Paris, Paris, France.
- Unit of Cardiology, Department of Medicine, Karolinska Institutet, and Heart and Vascular and Neuro Theme, Karolinska University Hospital, Stockholm, Sweden.
Abstract
This review evaluates the role of heart failure (HF) registries in the Nordic countries-Sweden, Denmark, Norway, and Iceland-in the implementation of the European Society of Cardiology's guidelines for guideline-directed medical therapy (GDMT) in heart failure with reduced ejection fraction (HFrEF). It critically examines how these registries facilitate clinical practice and enhance patient outcomes through their design, data collection methods, and the evaluation of key metrics related to GDMT implementation over time. We highlight the nurse-led models adopted by these registries, which emphasize quality benchmarks and feature real-time feedback mechanisms regarding the application of GDMT. Between 2021 and 2024, registry population-weighted estimates revealed significant increases in the utilization of key therapies: mineralocorticoid receptor antagonists rose from 51% to 72%, sodium-glucose co-transporter-2 inhibitors from 20% to 81%, and sacubitril/valsartan from 22% to 32%. The use of beta-blockers and renin-angiotensin-system inhibitors remained consistently high at 91% and 94%, respectively. These shifts were linked to better treatment outcomes. The findings underscore that HF registries play a crucial role in enhancing care quality through established drug therapies for HFrEF, offering a model for integrating data-driven methodologies into HF management. Future utilization and expansion of these registries are vital for tackling healthcare disparities and refining treatment strategies for HF patients.
MeSH
Registries, Heart Failure, Heart, Heart Failure, Systolic, Therapeutics