The European heart failure management resources, treatment reimbursement and activities of professional and patient organizations

Seferović P.M. Polovina M. Savarese G. Milinković I. Lund L. Chioncel O. Abdelhamid M. Lopatin Y. Störk S. Anguita Sanchez M. Piepoli M. Maggioni A.P. Jankowska E. Bayes-Genis A. Cohen Solal A. Ristić A. Tokmakova M. Yilmaz M.B. Skouri H. Miličić D. Amir O. Rakisheva A. Filippatos G. Rosano G. Metra M. Coats A.J.
November 2025 John Wiley and Sons Ltd

European Journal of Heart Failure
2025 #27 Issue 11 1992 - 2007 pp.

Aims: The European Heart Failure (HF) Survey was developed by the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) to map HF management resources, reimbursement of drugs/devices for HF treatment, and structure and activities of HF professional and patient organizations. Methods and results: The survey encompassed 43 ESC member countries. The median number of hospitals with dedicated HF centres was 2.6 (interquartile range [IQR] 0.9–4.7) per million people. Natriuretic peptide assessment was available at a median of 6.1 (IQR 1.8–10.6) emergency departments and 8.2 (IQR 1.3–14.7) hospitals per million people, respectively, whilst cardiac magnetic resonance was available at a median of 2.0 (IQR 0.9–3.8) hospitals per million people. Short-term and long-term mechanical circulatory support and heart transplantation were available at a median of 1.1 (IQR 0.5–2.4), 0.4 (IQR 0.0–0.5) and 0.3 (0.2–0.5) hospitals per million people, respectively. Whilst essential HF medications were mostly available and reimbursed, gaps were observed in availability and funding of newer and advanced therapies. Density of all diagnostic and therapeutic capabilities was greater in countries with more favourable socioeconomic status. National HF societies were reported in 98% of countries, whilst HF patient organizations in 45% of countries.anaemia. Conclusions: The European HF Survey is the result of long-standing HFA/ESC efforts to monitor HF epidemiology, management resources, educational and awareness activities. It offers a valuable assessment of current management capabilities, highlighting challenges in providing contemporary standards of care. It also provides insights into future directions needed to address these gaps.

Advocacy , Awareness , Diagnostic capabilities , Education , Heart failure , Management , Reimbursement

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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Serbian Academy of Sciences and Arts, Belgrade, Serbia
Department of Cardiology, University Clinical Centre of Serbia, Belgrade, Serbia
Division of Cardiology, Department of Medicine and Karolinska Institutet, Stockholm, Sweden
Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden
Emergency Institute for Cardiovascular Diseases ‘Prof. Dr. C.C. Iliescu’, University for Medicine and Pharmacy ‘Carol Davila’, Bucharest, Romania
Department of Cardiovascular Medicine, Faculty of Medicine, Kasr Al Ainy, Cairo University, Cairo, Egypt
Volgograd Medical University, Cardiology Centre, Volgograd, Russian Federation
Department of Clinical Research & Epidemiology, Comprehensive Heart Failure Center, Würzburg, Germany
Department Internal Medicine I, University Hospital Würzburg, Würzburg, Germany
Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain
Centro Cardiologico Monzino, IRCCS, Milan, Italy
Clinical Cardiology, Policlinico San Donato IRCCS, University of Milan, Milan, Italy
Research Centre of the Italian Association of Hospital Cardiologists, Florence, Italy
Centre for Heart Diseases, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
Cardiology Department and Heart Failure Unit, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
CUMR-S 942 MASCOT, Paris University, Cardiology Department, Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, Paris, France
Medical University of Plovdiv, Plovdiv, Bulgaria
Department of Cardiology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey
Division of Cardiology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
University of Zagreb School of Medicine, Department of Cardiovascular Diseases, University Hospital Centre Zagreb, Zagreb, Croatia
Department of Cardiology, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
City Cardiology Center, Almaty, Kazakhstan
Department of Cardiology, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece
Centre for Clinical and Basic Research, Department of Medical Sciences, IRCCS San Raffaele Pisana, Rome, Italy
Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Cardiothoracic Department, Civil Hospitals, Brescia, Italy
Heart Research Institute, Newtown, Australia

Faculty of Medicine
Serbian Academy of Sciences and Arts
Department of Cardiology
Division of Cardiology
Heart and Vascular Theme
Emergency Institute for Cardiovascular Diseases ‘Prof. Dr. C.C. Iliescu’
Department of Cardiovascular Medicine
Volgograd Medical University
Department of Clinical Research & Epidemiology
Department Internal Medicine I
Servicio de Cardiología
Centro Cardiologico Monzino
Clinical Cardiology
Research Centre of the Italian Association of Hospital Cardiologists
Centre for Heart Diseases
Cardiology Department and Heart Failure Unit
CUMR-S 942 MASCOT
Medical University of Plovdiv
Department of Cardiology
Division of Cardiology
University of Zagreb School of Medicine
Department of Cardiology
City Cardiology Center
Department of Cardiology
Centre for Clinical and Basic Research
Cardiology
Heart Research Institute

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