Cited by 315Heart Failure Treatment and ManagementCardiovascular Function and Risk FactorsCardiovascular Health and Risk Factors

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Heart failure in the general population of men - morbidity, risk factors and prognosis

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Wilhelmsen, L., Rosengren, A., Eriksson, H., Lappas, G.·2001·Journal of Internal Medicine

DOI 10.1046/j.1365-2796.2001.00801.x

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Abstract

AIMS: To analyse the prevalence, aetiology and prognosis of heart failure. METHODS AND RESULTS: A random population sample of men (n=7495) was examined at baseline in 1970-73 and followed until 1996. During up to 27 years, 937 men were hospitalized for heart failure. For the statistical analysis, odds ratios and 95% confidence intervals, multivariate logistic regression and time-dependent Cox analysis were used. The incidence rate was 2.1, 9.1 and 11.5 per 1000 person-years in the age groups 55-64, 65-74 and 75-79, and the prevalences were 0.6, 2.8 and 6.2%, respectively. Valvular heart disease was the aetiology in 5.8%, coronary heart disease only or in combination with hypertension in 58.8%, and hypertension only in 20.3%, and various combinations with diabetes in 4.5%. Of the remaining 12.1%, 96% were smokers and 64% were registered for alcohol abuse. Risk factors were increasing age, myocardial infarction in the family, diabetes mellitus, chest pain, tobacco smoking, high coffee consumption, alcohol abuse, high body mass index, high blood pressure as well as treatment for hypertension, but not high total cholesterol or psychological stress. Mortality after the diagnosis was increased eight times. CONCLUSIONS: Coronary heart disease and hypertension were the most common concomitant diseases. Risk factors were similar to those in coronary heart disease, and also alcohol abuse, but not high total cholesterol, low physical activity or psychological stress. Mortality was high.

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Self-citation

Authors: Wilhelmsen, L., Rosengren, A., Eriksson, H., & Lappas, G.
Affiliations: University of Gothenburg (SE)
ORCID: Rosengren, A.
Venue: Journal of Internal Medicine
Publisher: Wiley
Published: 2001-03-06
Volume: 249
Issue: 3
Pages: 253-261
ISSN: 0954-6820 (ISSN-L)
1365-2796
DOI: 10.1046/j.1365-2796.2001.00801.x
OpenAlex: W2013147647
Cited by: 315
References: 35
Citations by year: 2026: 2 · 2025: 2 · 2024: 7 · 2023: 9 · 2022: 12 · 2021: 19 · 2020: 8 · 2019: 8 · 2018: 9 · 2017: 16 · 2016: 15 · 2015: 15 · 2014: 9 · 2013: 15 · 2012: 14
FWCI: 7.06
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: doi.wiley.com/10.1002/tdm_license_1 (tdm, 5292 d)
Locations: Journal of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: Hjärt-Lungfonden
Vetenskapsrådet
Medical Research Council
Socialstyrelsen
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 › Cardiovascular Health and Risk Factors
Keywords: heart failure, men, heart failure incidence, heart failure prevalence, risk factors, prognosis, mortality, coronary artery disease, hypertension, valvular heart disease, diabetes mellitus, alcohol abuse, smoking, body mass index, family history of myocardial infarction, etiology
MeSH terms: Alcohol Drinking, Coronary Disease, Heart Failure, Hospitalization, Humans, Hypertension, Male, Middle Aged, Morbidity, Prognosis, Risk Factors, Prevalence, Logistic Models

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Heart failure in the general population of men - morbidity, risk factors and prognosis

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