Reply to letter to the editor: "Bridging Heart Failure Clinic–Based GDMT Optimisation and Real-World Practice in HFrEF"

Key Points

• This communication aims to discuss the challenges and strategies in integrating guideline-directed medical therapy for heart failure with reduced ejection fraction into real-world clinical practices.
• Analysis of current practices in heart failure clinics.
• Discussion of barriers to GDMT optimisation.
• Recommendations for enhancing implementation in real-world settings.
• Identified significant gaps between clinical guidelines and actual practice.
• Proposed solutions for bridging these gaps to enhance patient outcomes.