Physicians' Academy for Cardiovascular Education

Physician adherence to guidelines associated with improved heart failure outcomes

Physicians’ guideline adherence is associated with better prognosis in outpatients with heart failure with reduced ejection fraction: the QUALIFY international registry

Literature - Komajda M, Cowie MR, Tavazzi L, et al; QUALIFY Investigators - Eur J Heart Fail. 2017; published online ahead of print

Main results


Good adherence of physicians to treatment guidelines, in particular prescription of ACEIs/ARBs, beta-blockers, MRAs and ivabradine, in dosages at least 50% of those recommended, is associated with improved mid-term clinical outcomes. These findings support the full implementation of guideline recommendations in clinical practice and suggest that quality performance metrics for HF in hospitals or healthcare systems should involve global adherence to all medications and dosages.


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Find this article online at Eur J Heart Fail.

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