Understanding the Demographic and Clinical Characteristics of Heart Failure to Improve Management Practices: The Caribbean Perspective

Felix Nunura*

Received: March 02, 2018;   Published: April 03, 2018

DOI: 10.32474/ACR.2018.01.000105

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Abstract

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.

Keywords: Caribbean region; Heart failure; Etiology; Management

Abbrevations: CHF: Congestive Heart failure; HF: Heart Failure; MI: Myocardial Infarction; SHF: Systolic Heart Failure; HT: Hypertension; DM: Diabetes Mellitus; HFNEF: Heart Failure with a Normal Ejection Fraction; DCM: Dilated Cardiomyopathy; NIDCM: Non-Ischemic Dilated Cardiomyopathy; IDCM: Ischemic Dilated Cardiomyopathy; LVSD: Left Ventricle Systolic Dysfunction; HFmrEF: Heart Failure with mid-range Ejection Fraction; HFrEF: Failure with Reduced Ejection Fraction; ARNI: Angiotens in Receptor Neprilysin Inhibitor

Abstract| Introduction| Lessons From the Clinical Studies on Afro Caribbean Patients with Heart Failure Living in Jamaica| Understanding Afro Caribbean Heart Failure to Improve the Management Practices| Conclusion| References|