Evidence-Based Management of Heart Failure: Clinical Impact and National Health Service Implications

循证心力衰竭管理:临床影响和国家医疗服务体系意义

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Abstract

Heart failure is a leading cause of morbidity and mortality worldwide and poses a major health challenge in the United Kingdom (UK), where it affects a substantial proportion of the population and consumes a substantial proportion of National Health Service (NHS) resources. Despite therapeutic advances, prognosis remains poor, and recurrent hospital admissions contribute significantly to the overall burden. This review summarises current strategies for heart failure management, including pharmacological therapy, device-based interventions, lifestyle modification, and multidisciplinary team approaches. Particular emphasis is placed on the importance of early diagnosis, timely optimisation of therapy, and the integration of holistic care models to improve outcomes. Health inequalities remain a pressing concern, with deprived populations experiencing disproportionate disease burden and reduced access to specialist care. Addressing these challenges through community-based services, digital health solutions, and equitable allocation of resources is essential to reduce admissions, enhance survival, and alleviate pressure on healthcare systems.

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