Iyngkaran Pupalan, Kangaharan Nadarajan, Zimmet Hendrik, Arstall Margaret, Minson Rob, Thomas Merlin C, Bergin Peter, Atherton John, MacDonald Peter, Hare David L, Horowitz John D, Ilton Marcus
Cardiologist and Senior Lecturer NT Medical School, Flinders University, Tiwi, NT 0811, Australia.
Curr Cardiol Rev. 2016;12(3):166-79. doi: 10.2174/1573403x12666160606115034.
Chronic heart failure (CHF) among Aboriginal/Indigenous Australians is endemic. There are also grave concerns for outcomes once acquired. This point is compounded by a lack of prospective and objective studies to plan care. To capture the essence of the presented topic it is essential to broadly understand Indigenous health. Key words such as 'worsening', 'gaps', 'need to do more', 'poorly studied', or 'future studies should inform' occur frequently in contrast to CHF research for almost all other groups. This narrative styled opinion piece attempts to discuss future directions for CHF care for Indigenous Australians. We provide a synopsis of the problem, highlight the treatment gaps, and define the impediments that present hurdles in optimising CHF care for Indigenous Australians.
澳大利亚原住民/土著居民中的慢性心力衰竭（CHF）呈地方流行态势。一旦患病，其预后也令人极为担忧。由于缺乏前瞻性和客观性研究来规划护理，这一问题变得更加复杂。为了把握所呈现主题的核心，全面了解土著居民健康至关重要。与几乎所有其他群体的CHF研究相比，诸如“恶化”“差距”“需要做得更多”“研究不足”或“未来研究应提供信息”等关键词频繁出现。这篇叙事风格的观点文章试图探讨澳大利亚原住民CHF护理的未来方向。我们概述了问题，突出了治疗差距，并明确了在优化澳大利亚原住民CHF护理方面存在障碍的阻碍因素。
