From Plan to Practice
Implementing the EU Safe Hearts Plan for Structural Heart Diseases
Summary
Structural heart disease affects over 14 million people in Europe, and up to 50% of severe cases remain undiagnosed until advanced stages. For aortic stenosis, mortality reaches 50% after two years if it is not diagnosed and treated.
The EU Safe Hearts Plan presents a vital opportunity to place a strong focus on early detection, treatment and care of Structural Heart Disease, and to contribute to the target of a 25% decrease in premature cardiovascular-related deaths by 2035.
The Coalition sets out four policy asks to turn the plan into practice, and calls for long-term, dedicated funding so that SHD priorities are built into EU financial frameworks and national health systems.
Our recommendations
Routine screening for early detection of SHD
Routine screening through auscultation as part of the EU Health Check Protocol, with standardised training for primary care professionals and specific measures for people aged 65 and over.
Integrated patient pathway from referral to treatment
A harmonised pathway linking early detection, referral, treatment, rehabilitation and follow-up, with explicit referral protocols and timely access to echocardiography and specialist valve assessment.
Ensuring funding for implementation of the EU Safe Hearts Plan
Long-term financial commitment through current and future EU funding mechanisms, including FP10 and ECF, to support SHD policies and equitable healthcare investment at the national level.
Addressing gender inequalities
Closing the gender gap in SHD care by raising awareness of symptoms and improving screening, referral and access to treatment for women and underrepresented groups, with tools such as a Gender Equality Dashboard with an SHD pillar.