Epidemiology of heart failure
Open accessAbstract
The heart failure syndrome has first been described as an emerging epidemic about 25 years ago. Today, because of a growing and ageing population, the total number of heart failure patients still continues to rise. However, the case mix of heart failure seems to be evolving. Incidence has stabilized and may even be decreasing in some populations, but alarming opposite trends have been observed in the relatively young, possibly related to an increase in obesity. In addition, a clear transition towards heart failure with a preserved ejection fraction has occurred. Although this transition is partially artificial, due to improved recognition of heart failure as a disorder affecting the entire left ventricular ejection fraction spectrum, links can be made with the growing burden of obesity-related diseases and with the ageing of the population. Similarly, evidence suggests that the number of patients with heart failure may be on the rise in low-income countries struggling under the double burden of communicable diseases and conditions associated with a Western-type lifestyle. These findings, together with the observation that the mortality rate of heart failure is declining less rapidly than previously, indicate we have not reached the end of the epidemic yet. In this review, the evolving epidemiology of heart failure is put into perspective, to discern major trends and project future directions.
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HFpEF is a major and growing public health problem.
“HFpEF is a major and growing public health problem.”
From The cardioprotective effects of semaglutide exceed those of dietary weight loss in mice with HFpEF (2023) · cites this paper as [82]
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Withaar, C., Meems, L. M. G., Nollet, E. E., Schouten, E. M., Schroeder, M. A., Knudsen, L. B., Niss, K., Madsen, C. T., Hoegl, A., Mazzoni, G., et al. (2023) · JACC: Basic to Translational Science · doi:10.1016/j.jacbts.2023.05.012 · Cited by 74 · see citing works
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What are the needs and experiences of caregivers of people with heart failure? A qualitative study
Schutz, S. E., & Walthall, H. E. (2022) · Heart & Lung · doi:10.1016/j.hrtlng.2022.03.011 · Cited by 23 · see citing works
Role of serum cytokines in the prediction of heart failure in patients with coronary artery disease
Hou, Q., Sun, Z., Zhao, L., Liu, Y., Zhang, J., Huang, J., Luo, Y., Xiao, Y., Hu, Z., & Shen, A. (2023) · ESC Heart Failure · doi:10.1002/ehf2.14491 · Cited by 5 · see citing works
- Authors
- Groenewegen, A., Rutten, F. H., Mosterd, A., & Hoes, A. W.
- Affiliations
- Utrecht University (NL)
- Corresponding author
- Groenewegen, Amy
- Venue
- European Journal of Heart Failure
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-06-01
- Volume
- 22
- Issue
- 8
- Pages
- 1342-1356
- ISSN
- 1388-9842 (ISSN-L)
- 1879-0844
- PMC
- PMC7540043
- OpenAlex
- W2155018999
- Cited by
- 2,043
- References
- 169
- Citations by year
- 2026: 258 · 2025: 351 · 2024: 427 · 2023: 452 · 2022: 369 · 2021: 171 · 2020: 7
- FWCI
- 42.46
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Journal of Heart Failure (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
- Keywords
- heart failure, heart failure epidemiology, incidence trends, heart failure with preserved ejection fraction, obesity, population aging, low-income countries, double burden of disease, heart failure mortality, case mix
- MeSH terms
- Medicare, Heart Failure, Humans, Nutrition Surveys, Stroke Volume, United States, Prevalence, Ventricular Function, Left
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