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[The epidemiology of heart failure in Japan]

Hiroshi Okamoto1, Akira Kitabatake

  • 1Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine.

Nihon Rinsho. Japanese Journal of Clinical Medicine
|May 21, 2003
PubMed

Insights

Heart failure survival in Japan has improved over 27 years, with ten-year survival rates exceeding 90% in patients treated with ACE inhibitors and beta blockers. This progress is partly due to older, less severely affected patients and better treatments.

Area of Science:

  • Cardiology
  • Epidemiology
  • Public Health

Context:

  • Heart failure (HF) poses a significant public health challenge in Japan, with an estimated one million individuals affected.
  • Limited epidemiological data exist on HF prognosis and survival trends in a Japanese population-based setting.
  • Dilated cardiomyopathy (DCM) is a primary cause of severe heart failure.

Purpose:

  • To investigate temporal changes in heart failure prognosis and survival over 27 years in Japan.
  • To analyze survival rates across three distinct 9-year periods.
  • To identify factors influencing survival improvements in heart failure patients.

Summary:

  • A 27-year study analyzed three cohorts, revealing progressive improvements in 10-year heart failure survival rates.
  • Patients in later cohorts were older and less severely affected, contributing to improved survival.
  • Subgroup analysis showed that 10-year survival rates exceeded 90% for patients treated with ACE inhibitors and beta blockers.

Impact:

  • Demonstrates significant advancements in heart failure management and patient outcomes in Japan.
  • Highlights the effectiveness of ACE inhibitors and beta blockers in improving long-term survival.
  • Provides crucial epidemiological insights for public health strategies and future research in heart failure.

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