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Burden of heart failure and underlying causes in 195 countries and territories from 1990 to 2017

Open access
Bragazzi, Nicola Luigi, Zhong, Wen, Shu, Jingxian, Abu Much, Arsalan, Lotan, Dor, Grupper, Avishay, Younis, Arwa, Dai, Haijiang·2021·European Journal of Preventive Cardiology

Abstract

Aims: To provide the first systematic analysis of the burden and underlying causes of heart failure (HF) in 195 countries and territories from 1990 to 2017. Methods and results: We collected detailed information on prevalence, years lived with disability (YLDs), and underlying causes of HF from the Global Burden of Disease study 2017. Numbers and age-standardized rates of HF prevalence and YLDs were compared by age, sex, socio-demographic index (SDI), and location. The proportions of HF age-standardized prevalence rates due to 23 underlying causes were also presented. Globally, the age-standardized prevalence and YLD rates of HF in 2017 were 831.0 and 128.2 per 100 000 people, a decrease of −7.2% and −0.9% from 1990, respectively. Nevertheless, the absolute numbers of HF prevalent cases and YLDs have increased by 91.9% and 106.0% from 1990, respectively. There is significant geographic and socio-demographic variation in the levels and trends of HF burden from 1990 to 2017. Among all causes of HF, ischaemic heart disease accounted for the highest proportion (26.5%) of age-standardized prevalence rate of HF in 2017, followed by hypertensive heart disease (26.2%), chronic obstructive pulmonary disease (23.4%). Conclusion: HF remains a serious public health problem worldwide, with increasing age-standardized prevalence and YLD rates in countries with relatively low SDI. More geo-specific strategies aimed at preventing underlying causes and improving medical care for HF are warranted to reduce the future burden of this condition.

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Metadata

Authors
Bragazzi, N. L., Zhong, W., Shu, J., Abu Much, A., Lotan, D., Grupper, A., Younis, A., & Dai, H.
Venue
European Journal of Preventive Cardiology
Published
2021-02-12
Volume
28
Issue
15
Pages
1682-1690
ISSN
  • 2047-4873 (ISSN-L)
  • 2047-4881
OpenAlex
W3129054508
Cited by
615
References
26
FWCI
38.83
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Burden of heart failure and underlying causes in 195 countries and territories from 1990 to 2017. https://app.cochat.ai/papers/10.1093/eurjpc/zwaa147
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Bragazzi, N. L., Zhong, W., Shu, J., Abu Much, A., Lotan, D., Grupper, A., Younis, A., & Dai, H. (2021). Burden of heart failure and underlying causes in 195 countries and territories from 1990 to 2017. European Journal of Preventive Cardiology. https://doi.org/10.1093/eurjpc/zwaa147

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