heart failure care :

an initiative spreading globally

Committed to therapeutic advances in cardiovascular medicine

RAJA AZLAN ADAMInternational Project DirectorWorldwide Medical Strategy Division

Declaration of Interest

vEmployed in industry

Main challenges:heart failure hospitalization

1. Ambrosy PA et al. The Global Health and Economic Burden of Hospitalizations for Heart Failure. Lessons Learned From Hospitalized Heart Failure Registries. J Am Coll Cardiol. 2014;63:1123–1133 2. Cowie MR et al. Improving care for patients with acute heart failure. 2014. Oxford PharmaGenesis. ISBN 978-1-903539-12-5. Available online at: http://www.oxfordhealthpolicyforum.org/reports/acute-heart-failure/improving-care-for-patients-with-acute-heart-failure . 3. Butler J, Braunwald E, Gheorghiade M. Recognizing worsening chronic heart failure as an entity and an end point in clinical trials. JAMA. 2014;312(8):789-90 . 4. O’Connor CM et al. Causes of death and rehospitalization in patients hospitalized with worsening heart failure and reduce left ventricular ejection fraction: results from efficacy of vasopressin antagonism in heart failure outcome study with tolvaptan (EVEREST) program. Am Heart J. 2010;159:841-849.e1.

Annual hospitalizations in both the United States and Europe1

>1 million

Hospitalized due to worsening chronic heart failure as compared with de novo heart failure3

Up to 9/10patients

1-4%

Heart failure hospitalizations as a percentage of total hospital admissions2

Average length of hospital stay3

5-10 days

Almost 1 out of 4 hospitalized patients (24%) are rehospitalized for heart

failure within the 30-day post discharge period4

Nearly 1 out of 2 patients (46%) are rehospitalized for heart failure within

the 60-day post discharge period4

Number of national heart failure working groups that have endorsed it

A global call for action in heart failure

Global Heart Failure Awareness Programme to consult online at http://www.escardio.org/communities/HFA/Pages/global-heart-failure-awareness-programme.aspxHFA White Paper "Heart failure: Preventing disease and death worldwide" to consult online at http://www.escardio.org/communities/HFA/Documents/WHFA-whitepaper-15-May-14.pdf

WHITE PAPERMay 2014

“Policy-makers worldwide must be urged to act on the recommendations of the paper”

49

A global call for action in heart failure Policy recommendations

HFA White Paper "Heart failure: Preventing disease and death worldwide" to consult online http://www.escardio.org/communities/HFA/Documents/WHFA-whitepaper-15-May-14.pdf

heart failure care Tools to answer the unmet needs in heart

failure

heart failure care Tools to answer the unmet needs in heart

failure

heart failure care Tools to answer the unmet needs in heart

failure

heart failure care Tools to answer the unmet needs in heart

failure

My heart failure passportfor patient empowerment

heart failure care

heart failure care My Heart Failure Passport

widely adopted

Data updated in April 2015- My Heart failure passport adapted in the world

Brazil

IrelandBulgaria

RussiaUkraine

Gulf coutries

Serbia CroatiaDenmark Finland

IndonesiaVietnam

UK

Thailand

application for patient empowerment

Data updated in May 2015 – Application available on smartphones (iPhone & Android versions)

A practical follow-up for the patient

heart failure care

Data updated in May 2015 – Application available on smartphones (iPhone & Android versions)

34

11

countries

languages

§ Brazil§ Canada§ Colombia§ Czech Republic§ France§ Gulf countries: Bahrain,

Kuwait, Qatar, Oman, UAE§ Italy§ Portugal§ Russia§ Slovakia§ Slovenia

§ Brazilian§ Czech§ English§ French§ German§ Italian§ Portuguese§ Russian§ Slovakian§ Slovenian§ Spanish

§ Singapore§ South Africa§ Spain§ Switzerland§ UK§ West Indies: Bahamas, Barbados,

Curaçao, Jamaica, Trinidad§ Africa: Benin, Burkina Faso,

Cameroun*, Congo, Ivory Coast*, Gabon*, Mali, Mauritania, Niger, Senegal, Chad*, Togo, Ghana

application for patient empowerment

heart failure care

A program spreading around the world

Feedback from countries – Projects related to the “Optimize heart failure care” program

IN LINE WITHIN LINE WITHGulf countries : UAE, Qatar, Kuwait, Bahrain, Oman

heart failure care

Patient Support Program

Patient Educational programs in Africa: Benin, Burkina Faso, Cameroun*, Congo, Ivory Coast*, Gabon*, Mali, Mauritania, Niger, Senegal, Chad*, Togo, Ghana

Patient Educational programs in Europe: Czech RepublicFrance, Italy, Spain, Switzerland, UK, Slovakia ,Slovenia

Malaysia, Singapore, Philippines, Thailand, Indonesia, Vietnam, Taiwan, Hong Kong, Korea

Brazil, Argentina, Mexico, Panama, Costa Rica, Honduras, Colombia, Jamaica

Russia, Ukraine, Belarus, Uzbekistan, Kazakhstan, Azerbaijan, Armenia and Georgia

§ There are still many challenges in heart failure management.

§ The program is designed to optimize

heart failure care through local & adapted initiatives.

heart failure care

Optimization of heart failure care:a collaborative effort