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Heart Failure Epidemiology: European Perspective
Open accessAbstract
Heart failure poses an increasing problem for global healthcare systems. The epidemiological data which has been accrued over the last thirty years has predominantly been accumulated from experience within North America and Europe. Initial large cohort, prospective longitudinal studies produced the first publications; however latterly the focus has shifted onto epidemiological data governing hospitalisation and mortality. The emphasis behind this shift has been the resource implications with regards to repetitive, costly and prolonged hospitalisation. The European experience in heart failure, though similar to North America has recently demonstrated differences in hospitalisation which may underlie the differences between healthcare system configuration. Heart failure however remains an increasing global problem and the endpoint of a variety of cardiovascular diseases. Allied with the fact of increasingly elderly populations and prior data demonstrating a steep rise in prevalent cases within more elderly populations, it is likely that the increasing burden of disease will continue to pose challenges for modern healthcare. Despite the predicted increase in the number of patients affected by heart failure, over the last thirty years, a clear management algorithm has evolved for the use of pharmacotherapies (neuro-hormonal antagonists), device based therapies (Implantable Cardioverting Defibrillator (ICD) and Cardiac Resynchronisation Therapy (CRT)) and mechanical therapies including left ventricular assist devices and cardiac transplantation. Though the management of such patients has been clearly delineated in national and international guidelines, the underuse of all available and appropriate therapies remains a significant problem. When comparing various epidemiological studies from different settings and timepoints, it should be remembered that rates of prevalence and incidence may vary depending upon the definition used, methods of accumulating information (with the possibility of bias) and the chosen cut point of defining left ventricular systolic dysfunction (LVSD).
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“Heart failure and AF coincide in many patients.”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [215]
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Metadata
- Authors
- Guha, K., & McDonagh, T.
- Affiliations
- Royal Brompton Hospital (GB)
- King's College Hospital (GB)
- Corresponding author
- Guha, K.
- ORCID
- Venue
- Current Cardiology Reviews
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2013-05-01
- Volume
- 9
- Issue
- 2
- Pages
- 123-127
- ISSN
- 1573-403X (ISSN-L)
- PMC
- PMC3682396
- OpenAlex
- W2005877651
- Cited by
- 137
- References
- 36
- Citations by year
- 2025: 9 · 2024: 6 · 2023: 6 · 2022: 9 · 2021: 12 · 2020: 10 · 2019: 15 · 2018: 20 · 2017: 15 · 2016: 17 · 2015: 9 · 2014: 7 · 2013: 2
- FWCI
- 1.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Current Cardiology Reviews (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- 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, prevalence, incidence, hospitalization, mortality, healthcare resource burden, left ventricular systolic dysfunction, implantable cardioverter-defibrillator, cardiac resynchronization therapy, left ventricular assist device, heart transplantation, underuse of therapy, healthcare system differences, older adults
- MeSH terms
- Echocardiography, Europe, Heart Failure, Heart-Assist Devices, Hospitalization, Humans, Prognosis, Prospective Studies, Comorbidity, Causality, Incidence, Prevalence, Defibrillators, Implantable, Ventricular Dysfunction, Left, Cardiac Resynchronization Therapy
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