PDF(Pubmed)
Abstract：
Heart failure (HF) is emerging as a major public health problem both in high- and low - income countries. The mortality and morbidity due to HF is substantially higher in low-middle income countries (LMICs). Accessibility, availability and affordability issues affect the guideline directed therapy implementation in HF care in those countries. This call to action urges all those concerned to initiate preventive strategies as early as possible, so that we can reduce HF-related morbidity and mortality. The most important step is to have better prevention and treatment strategies for diseases such as hypertension, ischemic heart disease (IHD), type-2 diabetes, and rheumatic heart disease (RHD) which predispose to the development of HF. Setting up dedicated HF-clinics manned by HF Nurses, can help in streamlining HF care. Subsidized in-patient care, financial assistance for device therapy, use of generic medicines (including polypill strategy) will be helpful, along with the use of digital technologies.
摘要：
在高收入国家和低收入国家，心力衰竭（HF）正在成为主要的公共健康问题。在中低收入国家（LMICs）中，HF的死亡率和发病率高得多。可访问性，可获得性和可负担性问题会影响这些国家在HF治疗中指导治疗的实施.这项行动呼吁敦促所有有关方面尽早启动预防战略，这样我们就可以降低与HF相关的发病率和死亡率。最重要的一步是对高血压等疾病有更好的预防和治疗策略,缺血性心脏病（IHD），2型糖尿病,和风湿性心脏病（RHD）易导致HF的发展。设立专门的HF诊所，由HF护士负责，可以帮助简化HF护理。住院护理补贴，设备治疗的财政援助，使用仿制药(包括息肉策略)将是有帮助的，随着数字技术的使用。
