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

Raghu Cherukupalli, Ashoke Matharu, Constantine Akwanalo, Saleem Bagha, Kaviraj Bundhoo, Harish Jevallee, Shaheen Essackjee, Simon Antoine Sarr, Delilah Kimambo, Moses Chiwanza, Tela Bulaya, Shashi Kanth Muni

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.