“The burden of heart failure is far greater in Asia. The prevalence ranged from 0.5% to as high as 6%. Preventive measures seem to be not effective or we are just seeing the natural course of cardiovascular disease. Mortality rate remains high despite proven beneficial therapies and interventions. One of the main reasons for poor outcome is the suboptimal utilization rate of Class IA drugs for heart failure which were documented in registries 1 decade ago.
Because of this, experts from Asia gathered together to start a campaign and program that will help Asian countries optimize heart failure care and reduce mortality while improving the quality of life of those afflicted.
The Optimize Heart Failure (OHF) is an initiative and project conceptualized by Professor Martin Cowie of the Imperial College London. This initiative was first shared with 7 Asian countries in 2014 which later on spread to 9 countries in 2016.
The group is known as the Asian Board of Heart Failure (ABHF). Not a registered name but later on became a model for the other regions in the world. The main role of the ABHF is to give advice on how drug therapy can be optimized in Asia.
The idea which sounded good to all members didn’t work the way it is expected to work. It worked beyond expectation and these advisers became movers and leaders in their own countries and hospitals.
And so the OHF became not only a project, but a whole program of continuously measuring the burden of heart failure and finding solutions towards optimizing heart failure care through research, education, awareness campaign, guidance and even innovating new tools to assist physicians and patients.
Strategies were formulated for each country but in general, the picture of strategies is depicted below :
- From the group, arise leaders who influenced the government in supporting effective guiding tools for patients,
- From the group arise researchers who conducted trials that improved the QOL and optimization of drug therapy in heart failure,
- From the group arise innovators in patient education,
- From the group arise strategists that molds behaviors of physicians and stakeholders in their countries that influence healthcare,
- From the group arise friends sharing and lending experiences.
After several meetings, registries were initiated, performance measure monitoring were conducted, healthcare systems were compared, quality of care were compared, and cost of healthcare were compared
Many things were accomplished out of this initiative and it continues to grow. There is no single attribute that determined the success of this program but what is commendable is the willingness of every member to continue working on optimizing heart failure care. This is their commitment.
This wouldn’t be possible without the support of Servier.”
Dr Eugene B. Reyes
Eugenio B. Reyes, MD, FPCP, FPCC, FACC
- Clinical Associate Professor, University of the Philippines, College of Medicine – Section of Cardiology, Department of Internal Medicine, Philippine General Hospital
- Chair, Committee on Research, Manila Doctors Hospital; Vice chair, Department of Internal Medicine, Manila Doctors Hospital
- Past President, Philippine Heart Association (PHA)
- Philippine General Hospital
- Manila Doctors Hospital
- Philippine Heart Center
- St Lukes Medical Center
- University of Santo Tomas Hospital and Medical Center
- Cardinal Santos Medical Center
- The Medical City Hospital
- Angeles University Medical Center
- Chinese Medical Center
- Zamboanga General Medical Center
- West Visayas Metro Medical Center,
- Northern Mindanao Medical Center