Acquaro Mauro, Turco Annalisa, De Luca Leonardo
Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Viale Golgi 19, Pavia 27100, Italy.
Eur Heart J Suppl. 2025 Feb 19;27(Suppl 1):i132-i136. doi: 10.1093/eurheartjsupp/suae118. eCollection 2025 Feb.
Chronic heart failure (HF) is a prevalent condition associated with significant morbidity, mortality, and economic burden worldwide. The pharmacological management of HF has evolved over time with various drug classes demonstrating efficacy in improving patient outcomes. This review examines the pharmacoeconomic aspects of these therapies, including common and newer HF therapies as angiotensin receptor-neprilysin inhibitors, sodium-glucose co-transporter-2 inhibitors, iron supplementation, and vericiguat, a novel soluble guanylate cyclase stimulator. By analysing cost-effectiveness studies and their implications on healthcare resource utilization, this paper aims to inform clinicians and policymakers on HF management optimization from both clinical and economic perspectives.
慢性心力衰竭(HF)是一种普遍存在的疾病,在全球范围内与显著的发病率、死亡率和经济负担相关。随着时间的推移,HF的药物治疗不断发展,各种药物类别在改善患者预后方面显示出疗效。本综述探讨了这些治疗方法的药物经济学方面,包括常见和新型的HF治疗方法,如血管紧张素受体脑啡肽酶抑制剂、钠-葡萄糖协同转运蛋白2抑制剂、铁补充剂以及新型可溶性鸟苷酸环化酶刺激剂维立西呱。通过分析成本效益研究及其对医疗资源利用的影响,本文旨在从临床和经济角度为临床医生和政策制定者提供有关HF管理优化的信息。