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Key priorities for the implementation of the 2023 ESC Guidelines for the management of cardiomyopathies in low-resource settings

  • Ruxandra Jurcut
  • , Roberto Barriales-Villa
  • , Elena Biagini
  • , Pablo Garcia-Pavia
  • , Iacopo Olivotto
  • , Alexandros Protonotarios
  • , Eloisa Arbustini
  • , Jens Mogensen
  • , Perry Elliott
  • , Elena Arbelo*
  • , Juan Pablo Kaski*
  • , Cristina Basso
  • , Connie Bezzina
  • , Nico Blom
  • , Rudolf de Boer
  • , Tim de Winter
  • , Marcus Flather
  • , Pablo García-Pavía
  • , Juan R. Gimeno
  • , Sabine Klaassen
  • Giuseppe Limongelli, Bart Loeys, Antonis Pantazis, Sanjay Sharma, Peter van Tintelen, James Ware
*Corresponding author for this work
  • Carol Davila University of Medicine and Pharmacy
  • European Reference Network for rare
  • Hospital Juan Canalejo
  • Centro de Investigación en Red en Enfermedades Cardiovasculares
  • Interventional Pulmonology Unit, Policlinico S. Orsola
  • Centro Nacional de Investigaciones Cardiovasculares Carlos III
  • Hospital Universitario Puerta de Hierro Majadahonda
  • University of Florence
  • University College London
  • IRCCS Fondazione Policlinico San Matteo - Pavia
  • Aalborg University
  • University of Barcelona
  • August Pi i Sunyer Biomedical Research Institute
  • Great Ormond Street Hospital for Children NHS Foundation Trust

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

ESC Guidelines provide best practice, evidence-based recommendations for diagnosing and treating patients with cardiovascular diseases. It is not always possible for best practices to be followed, however, particularly in low-resource settings. To address this issue, a set of guideline-related documents were created to identify key priorities for users in these settings. The documents highlight the related recommendations and describe key strategies for clinicians to approach implementation of these recommendations or discuss alternatives which are in line with the intention of the recommendations, if not having all of the same advantages. The suggestions cannot be used as exact substitutes for the original recommendations in the guidelines, which have not been altered and continue to reflect best practice. This document on key priorities for low-resource settings was developed by the task force chairs and other members of the task force who produced the 2023 ESC Guidelines for the management of cardiomyopathies, which are freely available on the ESC website (https://www.escardio.org/Guidelines). This document also underwent external review including international experts from within and beyond Europe and ESC partner organizations, including the Interamerican Society of Cardiology, the Pan-African Society of Cardiology, the Asian Pacific Society of Cardiology, and the ASEAN Federation of Cardiology.
Original languageEnglish
Pages (from-to)910-918
Number of pages9
JournalEuropean Heart Journal - Quality of Care and Clinical Outcomes
Volume11
Issue number7
DOIs
Publication statusPublished - 1 Nov 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • Cardiac magnetic resonance (CMR) imaging
  • Cardiomyopathy
  • Dyspnoea
  • Echocardiography
  • Recommendation
  • Syncope

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