Author + information
- Mohammad H. Forouzanfar,
- Andrew Moran,
- David Phillips,
- George Mensah,
- Majid Ezzati,
- Mohsen Naghavi and
- Christopher JL Murray
Heart failure has multiple causes and leads to significant health and economic burdens. Understanding heart failure prevalence by cause helps to design appropriate prevention strategies.
Data from a systematic review of published literature and hospital discharge data were analyzed to estimate the all-cause heart failure prevalence of the envelope. Individual-level hospital and vital registration data were analyzed in order to estimate the etiologic fraction of 17 causes of heart failure, including ischemic heart disease, hypertensive heart disease, rheumatic heart disease, cardiomyopathy, cardiopulmonary heart disease, Chagas disease and metabolic disorders (Figure).
In 2010, more than 41 million patients were living with heart failure_ a 14% increase from 1990. The pattern of causes of heart failure varies prominently by region (Figure). Globally, 38% of heart failure cases were caused by IHD and 34% by the next three largest causes: hypertensive heart disease, rheumatic heart disease and cardiopulmonary disease. IHD was responsible for 61% of heart failure in North America, 50% in Western Europe and only 9% in Sub-Saharan Africa. Hypertensive heart disease, cardiomyopathy and myocarditis cause 40-45% of heart failure in Sub-Saharan Africa regions.
In the majority of regions, IHD is the most important cause of heart failure. Non-IHD causes predominate in many regions, signaling the need for targeted prevention strategies.
Poster Sessions, Expo North
Monday, March 11, 2013, 9:45 a.m.-10:30 a.m.
Session Title: Epidemiology, Risk Modeling and Prediction of Outcomes in Heart Failure
Abstract Category: 15. Heart Failure: Clinical
Presentation Number: 1308-294
- 2013 American College of Cardiology Foundation