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Heart Failure Management from African Perspective: A consensus statement on the urgent need for action

Year: 2025
Type: article
Abstract: OBJECTIVE: The primary aim of this consensus is to identify strategies for diagnosing, treating, and managing heart failure in Africa. METHODS: The development of the manuscript involved a combination of literature review, expert consultations, and consensus-building workshops. A panel of experts was convened from various African countries to capture geographical diversity. Multiple discussions were held with focus on challenges in diagnosing heart failure with limited resources. RESULTS: Following a series of discussions, we prepared a manuscript that underwent peer review to validate its credibility and scientific rigor. This methodological approach demonstrates a commitment to evidence-based practice while also recognizing the need for solutions adapted to local contexts, with the goal of improving heart failure outcomes among Africa's diverse population. CONCLUSION: In Africa, heart failure diagnosis often relies on echocardiography due to scarce BNP testing. Guideline-Directed Medical Therapy is often unaffordable, with medication access being a key challenge. Co-morbidities frequently complicate patient management.
DOI: 10.5830/cvja-2025-050
Authors: Raghu Cherukupalli, Ashoke Matharu, Constantine Akwanalo, Saleem Bagha, Kaviraj Bundhoo, Harish Jevallee, Shaheen Essackjee, Simon Sarr, Delilah Kimambo, Moses Chiwanza, Tela Bulaya, Shashi Muni
Institutions: Yashoda Hospital, Aga Khan University Hospital Nairobi, Hôpital Aristide Le Dantec, Cheikh Anta Diop University, Jakaya Kikwete Cardiac Institute, MSN Laboratories (India)
Language: English
Field: Medicine
Open Access status: hybrid
OpenAlex ID: W4415323745
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