Evidence mapPaperPMID 40094071Full record

Observational studyGlobal heart2025

Characterization of 2,500 Patients with Heart Failure and Analysis of Their Optimal Medical Therapy: Insights from the AMERICCAASS Registry.

Alex David Sotomayor-Julio, Sebastián Seni-Molina, Juliana María Gutiérrez-Posso, Juan Andrés Muñoz-Ordoñez, Valeria Azcárate-Rodríguez, Hoover O León-Giraldo, Eduardo R Perna, Víctor Rossel, Daniel Quesada-Chaves, Mario Speranza and 24 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Global heart, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Observational
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors.

Alex David Sotomayor-JulioServicio de Cardiología, Fundación Valle del Lili, Cali, Colombia.ORCID 0000-0002-4664-9919
Sebastián Seni-MolinaCentro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia.ORCID 0009-0006-2151-0722
Juliana María Gutiérrez-PossoCentro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia.ORCID 0000-0001-6870-1012
Juan Andrés Muñoz-OrdoñezFacultad de Ciencias de la Salud, Universidad Icesi, Cali, Colombia.ORCID 0009-0009-1278-8943
Valeria Azcárate-RodríguezFacultad de Ciencias de la Salud, Universidad Icesi, Cali, Colombia.ORCID 0009-0007-8219-9285
Hoover O León-GiraldoCentro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia.ORCID 0000-0002-8854-105X
Eduardo R PernaDivisión de Insuficiencia Cardiaca e Hipertensión Pulmonar, Instituto De Cardiología J. F. Cabral, Corrientes, Argentina.ORCID 0000-0002-9977-7623
Víctor RosselServicio de Cardiología, Instituto Nacional del Tórax, Santiago, Chile.ORCID 0000-0002-4212-1148
Daniel Quesada-ChavesServicio de Cardiología, Hospital San Vicente de Paul, Heredia, Costa Rica.ORCID 0000-0003-4367-549X
Mario SperanzaDepartamento de Cardiología, Hospital Clínica Bíblica, San José, Costa Rica.ORCID 0000-0002-6947-0735
Mark H DraznerDivision of Cardiology, University of Texas Southwestern Medical Center, Dallas, United States.ORCID 0000-0003-3054-4757
Walter AlarcoServicio de Cardiología, Instituto Nacional Cardiovascular INCOR, Lima, Perú.
Alexander Romero-GuerraServicio de Cardiología, Hospital Santo Tomas, Ciudad de Panamá, Panamá.ORCID 0000-0002-0785-0804
Gabriel FragoServicio de Cardiología, Hospital Santo Tomas, Ciudad de Panamá, Panamá.
Daniela García BrascaUnidad de Insuficiencia Cardiaca y Trasplante, Hospital Italiano de Córdoba, Córdoba, Argentina.ORCID 0000-0002-9175-9543
Álvaro Mauricio Quintero-OssaDepartamento de Cardiología, Clínica Cardio VID, Medellín, Colombia.ORCID 0000-0003-3588-2114
Javier Galeano FigueredoHospital de Clínicas -Facultad de Ciencias Médicas, Universidad Nacional de Asunción, Asunción, Paraguay.
Milton Lubeck HerreraClínica HART, Quezaltenango, Guatemala.
Antonella A FerrerDepartamento de Cardiología, Unidad Cardiovascular Ferrer, Puerto Cabello, Venezuela.
Ruddy Miguel García-SafaditDepartamento de Cardiología, Centro Médico Siglo 21, San Francisco de Macorís, Republica Dominicana.
Freddy Pow-Chon-LongDepartamento de Cardiología, Hospital Luis Vernaza, Guayaquil, Ecuador.ORCID 0000-0001-9700-8495
Felix Nunura ArreseHeart Failure Clinic, Heart Institute of the Caribbean, Kingston, Jamaica.ORCID 0000-0001-9868-8656
Kwame van der HilstDepartment of Cardiology, Thorax Center Paramaribo -Academic Hospital Paramaribo, Paramaribo, Suriname.ORCID 0000-0002-3143-1036
Silvia Carolina Lazo-MajanoDepartamento de Cardiología, Instituto Salvadoreño del Seguro Social, San Salvador, El Salvador.
Elisabeth Ashley HardinDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, United States.
Orlando David Fernández-FloresCaja Petrolera de Salud, La Paz, Bolivia.
Gabriela Ormaechea-GorrichoDepartamento de Medicina Interna, Hospital de Clínicas 'Dr. Manuel Quíntela', Montevideo, Uruguay.ORCID 0000-0002-2981-7722
Luis Felipe Anhuaman-AtocheDepartamento de Cardiología, Hospital María Auxiliadora, Lima, Perú.ORCID 0000-0001-5666-7590
Annia María Carrero-VásquezServicio de Cardiología, Hospital General Docente Enrique Cabrera, La Habana, Cuba.
Andrés Ulate RetanaServicio de Cardiología, Hospital México CCSS, San José, Costa Rica.
Pablo Hurtado NuñezServicio de Cardiología, Hospital Carlos R. Huembes, Managua, Nicaragua.
Emilio Samael Peralta-LópezServicio de Cardiología, Instituto Nacional Cardiopulmonar, Tegucigalpa, Honduras.
Juan Esteban Gómez-MesaServicio de Cardiología, Fundación Valle del Lili, Cali, Colombia.ORCID 0000-0002-6635-6224
AMERICCAASS Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Heart failure (HF) is a leading cause of hospitalization and mortality worldwide, emphasizing the critical role of optimal medical therapy (OMT) in improving patient outcomes. Despite extensive research, most scientific evidence regarding HF is gathered and studied in developed countries, leaving substantial knowledge gaps regarding HF in Latin America and the Caribbean. Objective: To characterize the sociodemographic and clinical profiles of HF patients and to assess their adherence to OMT in the Americas. Methods: The AMERICCAASS Registry is a prospective, observational, multicenter study, including patients aged 18 and older, both hospitalized and ambulatory, and diagnosed with HF. Sociodemographic and clinical data were collected from the first 2,500 patients to characterize the study population. Adherence to OMT was subsequently evaluated according to left ventricular ejection fraction (LVEF). Results: Among the 2,500 patients in the study, 36% were hospitalized and 64% were ambulatory. The median ages of the patients were 66.9 (hospitalized) and 66.3 years (ambulatory). Males made up 60.8% of hospitalized and 59.3% of ambulatory patients. The majority had HF with reduced LVEF (≤40%): 60.7% for hospitalized and 58.5% for ambulatory. The New York Heart Association (NYHA) functional class II predominated among ambulatory patients (67.9%), while NYHA functional class III predominated among hospitalized patients (46.6%). Only 21% of patients with reduced LVEF were receiving quadruple therapy, whereas 12.3% of patients with mildly reduced LVEF (41-49%) were on this treatment. Conclusion: The findings demonstrate that the sociodemographic and clinical profiles of HF patients in the Americas are broadly consistent with international reports. However, the low use of OMT observed in this population underscores gaps in adherence to current guidelines. These results highlight the need for targeted strategies to improve pharmacological treatment adherence to optimize health outcomes in this region.

Indexed as

Heart FailureRegistriesAdultAgedFemaleHospitalizationHumansLatin AmericaMaleMiddle AgedProspective StudiesStroke VolumeVentricular Function, LeftAmericascharacterizationHeart failureoptimal medical therapyregistries

Identifiers

PMID40094071
PMCPMC11908427

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.