Heart Failure is a worldwide burden. The prevalence, incidence, mortality and morbidity rates reported show geographic
variations, depending on the different aetiologies and clinical characteristics observed among patients with this complex syndrome.
In this review we focus on the Afro Caribbean population with Heart Failure providing data review about the Heart Failure etiology
based in previous Clinical Trials In addition we provide suggestions based in these Trials and our recent observational clinical
studies that might be useful to improve our current Heart Failure Guideline-Directed Medical Therapy . Finally we highlight the need
for more regional research.