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. 2024 Oct 25;6(4):141–148. doi: 10.36628/ijhf.2024.0033

Table 1. Potential challenges and strategies for improving heart failure care in Asia.

Challenges Potential strategies to address challenges
Limited heart failure data in Asia • Improve granularity and quality of heart failure registry data with the ability to harmonize other regional heart failure registries.
• Recognize the diversity of Asian ancestry and its implication on heart failure presentation, management, and outcome.
• Improve understanding of environmental, dietary, genetic factors on heart failure in Asia.
• Investment of genomic research infrastructure including development of biobanks for various Asian communities.
• Continue participation in global clinical trials for heart failure. Current trial participants are representative of clinical practice.
Non-optimal guideline directed medication and device use • Emphasis on implementation science research to contextualize and scale-up interventions to improve guideline directed care in each country.
• Address patient-related, treatment-related, healthcare-related factors unique to Asian countries that may lead to non-optimal use of medication and device use.
• Heart failure polypill in development to address adherence and reduce pill burden.
• Improve standards of heart failure care through a multidisciplinary team approach.
Inadequate training opportunities for providers • Expand training programs for healthcare providers, including non-cardiologists, in heart failure management.
• Re-vamp training pathways to attract talents to heart failure.
Lack of awareness about heart failure among patients • Launch public awareness campaigns to increase knowledge about heart failure symptoms and management options.
• Emphasis on Stage A heart failure and prevention
• Address risk factors to heart failure including high blood pressure and lipids and diabetes etc.
Limited research in heart failure implementation science • Formal training in research and implementation science and support research capacity in Asia.