Heart Failure Care in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

by Thomas Callender, Mark Woodward, Gregory Roth et al.
PLoS Med 11(8): e1001699 (August 12, 2014)

41 pp. 7.7 MB:
http://www.plosmedicine.org/article/fetchObject.action?
uri=info%3Adoi%2F10.1371%2Fjournal.pmed.1001699&representation=PDF

Heart failure places a significant burden on patients and health systems in high-income countries. However, information about its burden in low- and middle-income countries (LMICs) is scant. The authors thus set out to review both published and unpublished information on the presentation, causes, management, and outcomes of heart failure in LMICs. They conclude that the presentation, underlying causes, management, and outcomes of heart failure vary substantially across LMICs. On average, the use of evidence-based medications tends to be suboptimal. Better strategies for heart failure surveillance and management in LMICs are needed.

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