The Great Asian Mismatch: Training Versus Care in Heart Failure

Shariff, Raja Ezman Raja; Beng, Koh Hui; Ghazi, Azmee Mohd

doi:10.1016/j.cardfail.2022.05.007

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Compared with Western regions, the prevalence rate in Asia seemed to be higher, ranging from 1.3% to 6.7%. 16 , 17 , 18 , 19 , 20 South Asia accounts for a quarter of the world's population, which is at an increased risk and earlier ages of HF. 21 Compared with the global level, only 9 GBD regions meet or exceed the global decreasing AAPC.…”

Section: Discussionmentioning

confidence: 99%

Burden, Trends, and Inequalities of Heart Failure Globally, 1990 to 2019: A Secondary Analysis Based on the Global Burden of Disease 2019 Study

Yan

Zhu

Yin

et al. 2023

JAHA

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Background Heart failure is a public health issue worldwide. However, no comprehensive study on the global burden of heart failure and its contributing causes has been reported. The present study aimed to quantify the burden, trends, and inequalities of heart failure globally. Methods and Results Heart failure data were extracted from the Global Burden of Diseases 2019 study. The number of cases, age‐standardized prevalence, and years lived with disability in different locations from 1990 to 2019 were presented and compared. Joinpoint regression analysis was performed to assess trends in heart failure from 1990 to 2019. In 2019, the global age‐standardized prevalence and years lived with disability rates for heart failure were 711.90 (95% uncertainty interval [UI], 591.15–858.29) and 63.92 (95% UI, 41.49–91.95) per 100 000 population, respectively. In general, the age‐standardized rate decreased globally at an average annual percentage change of 0.3% (95% UI, 0.2–0.3). However, the rate increased at an average annual percentage change of 0.6% (95% UI, 0.4–0.8) from 2017 to 2019. Several nations and territories demonstrated an increased trend from 1990 to 2019, especially in less‐developed countries. Ischemic heart disease and hypertensive heart disease accounted for the highest proportion of heart failure in 2019. Conclusions Heart failure remains a major health problem, with increased trends possible in the future. Efforts for prevention and control of heart failure should focus more on less‐developed regions. It is essential to prevent and treat primary diseases such as ischemic heart disease and hypertensive heart disease for the control of heart failure.

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Section: Discussionmentioning

confidence: 99%

Burden, Trends, and Inequalities of Heart Failure Globally, 1990 to 2019: A Secondary Analysis Based on the Global Burden of Disease 2019 Study

Yan

Zhu

Yin

et al. 2023

JAHA

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“…4 Furthermore, formalised training in advanced HF and transplantation (AHFT) is mainly centred in Singapore. 5 This is worrying, because the management of patients living with HF is often complex and recognition of clinically deteriorating patients living with HF often is beyond that of most core cardiology curricula. Furthermore, there is a widespread misconception that HF training and fellowship should be heavily focused on AHFT training (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…3,6,7 We recently made recommendations for a dedicated HF curriculum, built with SEA cardiologists and fellows-in-training (FIT) in mind (Figure 1). 5 Following on from that publication, we felt that there was a great need to understand the thoughts and perceptions among cardiologists and FIT surrounding HF as a potential formalised subspeciality to be trained in. The aim of the present study was to gain an understanding of the knowledge, attitudes and perceptions of Malaysian cardiologists and FIT surrounding HF training and HF as a potential subspeciality.…”

Section: Introductionmentioning

confidence: 99%

Attitudes and Perception Surrounding Heart Failure Fellowship Training: A Survey Study

Shariff,

Azri,

Moize

et al. 2023

J Asian Pac Soc Cardiol

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Background: Despite the burgeoning burden of heart failure (HF) in South-east Asia, very few opportunities exist to be formally trained in HF within the region. The aim of this study was to assess the knowledge, attitudes and perception surrounding HF training and HF as a potential subspeciality. Methods: A national-level, 28-item online survey study was conducted between 20 October and 20 November 2022. The target group for the survey was cardiology fellows-in-training, cardiologist post-training (non-consultants) and consultant cardiologists. A total of 82 people were asked to complete the survey. The type of data collected included the following areas of interest: respondent demographics; knowledge and perception of current clinical practice locally; knowledge, attitudes and perceptions of training in HF, associated cardiology subspecialities and AHFT; and attitudes and perceptions towards a recommended HF curriculum designed by the authors. Results: Fifty-one responses were obtained (response rate 62.2%). The mean (± SD) age of respondents was 39.4 ± 6.5 years, most of whom were men (84.3%). Most respondents were cardiology fellows-in-training (58.8%) and consultant cardiologists (29.4%). Although most respondents (82.4%) felt that advanced HF and transplantation (AHFT) training should be made available, only 52.9% felt that training was feasible in Malaysia. Nevertheless, training without AHFT exposure may still be feasible, especially when incorporating other subspecialities. When introduced to our proposed HF curriculum, most respondents (82.4%) felt that it was feasible for implementation locally, although many (66.7%) felt that the lack of AHFT exposure would make it less attractive and that a rotation in an AHFT-capable centre would be essential (90.2%). When asked about other ‘adjunctive’ rotations, again most agreed that echocardiography, critical care cardiology and cardiac MRI training were potentially supplementary. Although exposure to clinical research and training was most welcome (78.4%), formal research through a Master’s or PhD degree was not essential. Conclusion: The survey highlights several important issues surrounding knowledge and perception of current cardiology training in South-east Asia. The information obtained will be useful in designing a HF curriculum that is ‘fit for purpose’ in Malaysia.

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JCF Heart Failure Year-In-Review 2022… The Best is Yet to Come!

Blumer

Mentz

2023

Journal of Cardiac Failure

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The Great Asian Mismatch: Training Versus Care in Heart Failure

Cited by 3 publications

References 7 publications

Burden, Trends, and Inequalities of Heart Failure Globally, 1990 to 2019: A Secondary Analysis Based on the Global Burden of Disease 2019 Study

Burden, Trends, and Inequalities of Heart Failure Globally, 1990 to 2019: A Secondary Analysis Based on the Global Burden of Disease 2019 Study

Attitudes and Perception Surrounding Heart Failure Fellowship Training: A Survey Study

JCF Heart Failure Year-In-Review 2022… The Best is Yet to Come!

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