RESUMO
BACKGROUND: Little is known regarding the impact of socioeconomic factors on the use of evidence-based therapies and outcomes in patients with heart failure with reduced ejection fraction across Asia. METHODS: We investigated the association of both patient-level (household income, education levels) and country-level (regional income level by World Bank classification, income disparity by Gini index) socioeconomic indicators on use of guideline-directed therapy and clinical outcomes (composite of 1-year mortality or HF hospitalization, quality of life) in the prospective multinational ASIAN-HF study (Asian Sudden Cardiac Death in Heart Failure). RESULTS: Among 4540 patients (mean age: 60±13 years, 23% women) with heart failure with reduced ejection fraction, 39% lived in low-income regions; 34% in regions with high-income disparity (Gini ≥42.8%); 64.4% had low monthly household income (Assuntos
Insuficiência Cardíaca
, Qualidade de Vida
, Ásia/epidemiologia
, Feminino
, Insuficiência Cardíaca/diagnóstico
, Insuficiência Cardíaca/epidemiologia
, Insuficiência Cardíaca/terapia
, Humanos
, Masculino
, Pessoa de Meia-Idade
, Estudos Prospectivos
, Classe Social
, Volume Sistólico