Refocusing on the Primary Prevention of Heart Failure

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Abstract

Purpose of review

The burden of heart failure (HF) is a significant national and global public health problem, with prevalence rates on the rise. Given the significant morbidity, mortality, and healthcare costs attributable to HF, it is of utmost importance to utilize preventive strategies to prevent the development of HF. Therefore, we sought to address how a multi-modal risk assessment approach can be used to stratify patients for HF risk and guide implementation of therapeutic strategies to prevent HF.

Recent findings

New externally validated, multivariate prediction models for incident HF can be applied in the general population and may be used to aide clinicians in assessing individualized HF risk and screening for HF. Recent clinical trial data suggest a natriuretic peptide biomarker-based screening approach coupled with team-based cardiovascular care to focus on optimization of guideline-directed medical therapy may help prevent new-onset HF. However, widespread implementation of clinical risk scores and/or biomarkers is needed.

Summary

In addition to promoting a heart healthy lifestyle, prevention and management of modifiable risk factors, including intensive blood pressure lowering and use of sodium-glucose cotransporter-2 inhibitors, can prevent incident HF.

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Funding

This work is supported by grants from the American Heart Association (no. 19TPA34890060) and the National Institutes of Health/National Heart, Lung, and Blood Institute (KL2TR001424) to Dr. Khan.

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Correspondence to Sadiya S. Khan MD, MSc.

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Lua A. Jafari declares that she has no conflict of interest.

Rachel M. Suen declares that she has no conflict of interest.

Sadiya S. Khan declares that she has no conflict of interest.

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Jafari, L.A., Suen, R.M. & Khan, S.S. Refocusing on the Primary Prevention of Heart Failure. Curr Treat Options Cardio Med 22, 13 (2020). https://doi.org/10.1007/s11936-020-00811-3

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Keywords

  • Prevention
  • Heart failure
  • Hypertension
  • Diabetes