Title:Part 1: The Wider Considerations in Translating Heart Failure Guidelines

VOLUME: 17 ISSUE: 5

Author(s):Pupalan Iyngkaran*, Andrew Wilson, James Wong, David Prior, David Kaye, David L Hare, Peter Bergin and Michael Jelinem

Affiliation:Department of Heart Failure & Cardiac Imaging, School of Medicine, Sydney Medical School, Werribee Mercy Sub School, Werribee, Department of Cardiology, Safer Care Victoria, St Vincents Hospital, Melbourne, Department of Cardiology, Head of Echocardiography at Royal Melbourne Hospital, Melbourne, Head of the Cardiology & Heart Failure Outpatient Clinics, University of Melbourne, Clinical Research Fellow at the St Vincent’s Institute, Melbourne, Department of Cardiology and Head Heart Failure, Heart Centre At The Alfred, Melbourne, Department of Cardiology, University of Melbourne, Austin Health, Melbourne, Victoria, Director of Heart Failure, Department of Cardiology, The Alfred, Melbourne, Department of Cardiology, St. Vincent's Hospital, Melbourne, Victoria

Keywords:Congestive heart failure, cost-efficacy, health services, taxonomy, white-papers, health systems.

Abstract:Congestive Heart Failure (CHF) is an emerging epidemic. Within one generation, the medical community has learned much of CHF syndromes. It has two distinct mechanisms, systolic and diastolic abnormalities, to account for the common CHF presentation. It is complex as it challenges the available health care services, resource, and funding models in providing an equitable service across the health continuum. Despite the improvement in many cardiovascular diseases, some CHF outcomes like readmissions and costs have increased. The reinvigoration of evidence- based medicine, the development of health services models of care, and standardisation of disease processes with taxonomies have also occurred within the same time span. These processes, however, need to be linked with health policy as presented in white papers. In this paper, we explore achieving optimal CHF guideline-recommended outcomes as the science approaches realworld translation.