Authors

• Abeer Bakhsh, Department of Cardiology, Advanced Heart Failure and Transplant, King Abdullah Medical City, Makkah, Saudi Arabia
• Fakhr Al Ayoubi, Department of Pharmacy and Department of Cardiac Sciences, King Fahad Cardiac Center, Riyadh, Saudi Arabia
• Fayez Elshaer, Department of Cardiology, King Khaled University Hospital, King Fahad Cardiac Center, King Saud University, Riyadh, Saudi Arabia
• Hanan B. Albackr, Department of Adult Cardiology, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia
• Hanin A. Bogari, Department of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia
• Ibrahim Jelaidan, Department of Adult Cardiology, Advanced Heart Failure and Adult Transplant, King Faisal Cardiac Center, King Abdulaziz Medical City, Jeddah, Saudi Arabia
• Ismail Raslan, Department of Cardiac Sciences, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
• Kamal Al Ghalayini, Department of Internal Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
• Maryam Alqaseer, Department of Heart Failure, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
• Waleed AlHabeeb, Department of Cardiac Sciences, King Saud University, Riyadh, Saudi ArabiaFollow

Optimizing Heart Failure-Specific Disease Management Programs and Patient Care in Saudi Arabia: A Saudi Heart Association Position Statement

Abstract

Background: Heart failure (HF) represents a major and growing health burden in Saudi Arabia, with high morbidity, frequent hospitalizations, and substantial system-level costs. Despite advances in guideline-directed medical therapy, gaps in diagnosis, care coordination, and longitudinal management persist. Structured, multidisciplinary heart failure–specific disease management programs (HF-DMPs) have been shown to improve outcomes and healthcare efficiency, yet their implementation remains inconsistent across the Kingdom.

Methods: The Saudi Heart Association (SHA) convened a multidisciplinary expert panel to develop a national position statement on HF-DMPs. Recommendations were formulated through structured consensus, informed by a comprehensive review of international guidelines, clinical trials, real-world evidence, and Saudi-specific data.

Results and conclusions: The SHA recommends a patient-centered, multidisciplinary HF-DMP framework aligned with disease stage and institutional capacity. Core components include structured referral and return-of-care pathways, integration of primary care as longitudinal care owners, optimized use of multidisciplinary teams, and scalable models incorporating virtual care and home-based services. Special populations, including cardio-oncology, pregnancy-associated HF, and cardiomyopathies, are addressed through adaptive multidisciplinary pathways. Performance indicators and quality metrics are proposed to support benchmarking and continuous improvement. Crucially, this framework is designed to synergize with the Kingdom’s Model of Care, ensuring that these clinical recommendations also offer a practical tool for the new healthcare system. Implementation of structured, capacity-based HF-DMPs is recommended as a pragmatic and scalable approach to enhance care coordination, optimize resource utilization, and reduce preventable HF morbidity and hospitalization at a national level.

Recommended Citation

Bakhsh, Abeer; Ayoubi, Fakhr Al; Elshaer, Fayez; Albackr, Hanan B.; Bogari, Hanin A.; Jelaidan, Ibrahim; Raslan, Ismail; Al Ghalayini, Kamal; Alqaseer, Maryam; and AlHabeeb, Waleed (2026) "Optimizing Heart Failure-Specific Disease Management Programs and Patient Care in Saudi Arabia: A Saudi Heart Association Position Statement," Journal of the Saudi Heart Association: Vol. 38 : Iss. 2 , Article 24.
Available at: https://doi.org/10.37616/2212-5043.1507

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