A prospective observational study on the prescription of Guideline Directed Medical Treatment (GDMT) for Heart Failure at Kauvery Heart City

Abstract

Background: Heart failure (HF) is a debilitating cardiovascular condition associated with significant morbidity and mortality. Guideline-Directed Medical Therapy (GDMT) has been established as a cornerstone in the management of HF, yet there remains a need for further understanding of its utilization, and impact on clinical outcomes in real-world hospital and community settings.

Objective: This prospective observational study aimed to investigate the clinical characteristics, management strategies, and outcomes of HF patients admitted to Kauvery Heart City over a three-month period, with a specific focus on the utilization of GDMT and its association with hospital outcomes.

Methods: We prospectively enrolled 50 adult HF patients meeting ESC criteria at Kauvery Heart City for three months. Data on demographics, medical history, symptoms, echocardiography, medications, and outcomes were collected using standardized forms.

Results: Among 50 HF patients, Males were predominant, with mean age of 45–64, Maximum population had severe LV dysfunction. 86% were predominantly prescribed diuretics. The Four Pillars of GDMT were utilized only in 2% of patients on admission and discharge. Readmission rate of 20% and mortality rate of 10% were observed.

Conclusion: This study provides insights into HF patient characteristics, treatment patterns, and outcomes at Kauvery Heart City. Optimizing GDMT implementation could enhance hospital care and patient outcomes in HF management.