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Adherence to Guideline-Directed Medical Treatments in Heart Failure. A Scientific Statement of the Heart Failure Association (HFA) of the ESC and the ESC Working Group on Cardiovascular Pharmacotherapy

Savarese, G; Lindberg, F; Cannata, A; Adamo, M; Ambrosio, G; Ameri, P; Anker, MS; Bäck, M; Bayes‐Genis, A; Ben Gal, T; et al. Savarese, G; Lindberg, F; Cannata, A; Adamo, M; Ambrosio, G; Ameri, P; Anker, MS; Bäck, M; Bayes‐Genis, A; Ben Gal, T; Braunschweig, F; Chioncel, O; D'Elia, E; El‐Tamimi, H; Filippatos, G; Girerd, N; Hill, L; Jankowska, E; Khunti, K; Lewis, BS; Moura, B; Amir, O; Paolillo, S; Piepoli, M; Shehab, A; Simpson, M; Skouri, H; Stolfo, D; Tocchetti, CG; Vitale, C; Volterrani, M; von Haehling, S; Wassmann, S; Yilmaz, MB; Kaski, JC; Dobrev, D; Metra, M; Rosano, GMC (2025) Adherence to Guideline-Directed Medical Treatments in Heart Failure. A Scientific Statement of the Heart Failure Association (HFA) of the ESC and the ESC Working Group on Cardiovascular Pharmacotherapy. European Journal of Heart Failure, 27 (12). pp. 2716-2731. ISSN 1388-9842 https://doi.org/10.1002/ejhf.70090
SGUL Authors: Kaski, Juan Carlos

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Abstract

Heart failure (HF) affects over 60 million individuals globally. Contemporary guideline‐directed medical therapies (GDMT) reduce cardiovascular mortality and HF hospitalizations. However, medication non‐adherence represents a critical barrier limiting real‐world efficacy of GDMT. This scientific statement aims to provide a comprehensive framework for understanding, measuring, and addressing medication non‐adherence in HF management across diverse healthcare settings. Addressing medication non‐adherence requires systematic, multifaceted approaches targeting individual patient barriers while implementing system‐level interventions. Polypills, digital monitoring platforms, enhanced patient education and empowerment, and multidisciplinary care models represent promising strategies to optimize therapeutic adherence and improve clinical outcomes in HF management.

Item Type: Article
Additional Information: © 2025 The Author(s). European Journal of Heart Failure published by John Wiley & Sons Ltd on behalf of European Society of Cardiology. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial https://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Keywords: Adherence, Digital, Education, Fixed‐dose combinations, Guidelines, Heart failure, Multidisciplinary, Polypill, Humans, Heart Failure, Guideline Adherence, Cardiovascular Agents, Societies, Medical, Medication Adherence, Cardiology, Practice Guidelines as Topic
SGUL Research Institute / Research Centre: Academic Structure > Cardiovascular & Genomics Research Institute
Academic Structure > Cardiovascular & Genomics Research Institute > Clinical Cardiology
Journal or Publication Title: European Journal of Heart Failure
ISSN: 1388-9842
Language: en
Media of Output: Print-Electronic
Related URLs:
Publisher License: Creative Commons: Attribution-Noncommercial 4.0
Projects:
Project IDFunderFunder ID
UNSPECIFIEDNational Institute for Health and Care Researchhttps://doi.org/10.13039/501100000272
UNSPECIFIEDBritish Heart Foundationhttp://dx.doi.org/10.13039/501100000274
R01HL136389National Institutes of Healthhttp://dx.doi.org/10.13039/100000002
R01HL163277National Institutes of Healthhttp://dx.doi.org/10.13039/100000002
R01HL160992National Institutes of Healthhttp://dx.doi.org/10.13039/100000002
R01HL165704National Institutes of Healthhttp://dx.doi.org/10.13039/100000002
R01HL164838National Institutes of Healthhttp://dx.doi.org/10.13039/100000002
R01HL176651National Institutes of Healthhttp://dx.doi.org/10.13039/100000002
2989Deutsche Forschungsgemeinschafthttp://dx.doi.org/10.13039/501100001659
965286European UnionUNSPECIFIED
Dates:
Date Event
2025-12 Published
2025-11-09 Published Online
2025-10-18 Accepted
URI: https://openaccess.sgul.ac.uk/id/eprint/118250
Publisher's version: https://doi.org/10.1002/ejhf.70090

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