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[Heart failure in the population: prevalence data].

G B Ambrosio1, L M Riva, S Zamboni

  • 1Istituto di Medicina Clinica, Università degli Studi, Padova.

Cardiologia (Rome, Italy)
|October 1, 1992
PubMed
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Chronic heart failure (CHF) affects 2.0% of adults aged 20-64 in Italy. Higher prevalence is linked to increasing age, obesity, and hypertension, with treated hypertensive patients showing greater risk.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Context:

  • Investigating the prevalence of chronic heart failure (CHF) in a representative adult population sample (20-64 years) from Italy's Veneto region.
  • Data collection was part of a World Health Organization (WHO)-coordinated international research project.
  • Examining the associations between CHF and key cardiovascular risk factors, specifically hypertension and obesity.

Purpose:

  • To determine the overall prevalence of chronic heart failure (CHF) in the adult population of the Veneto region.
  • To analyze the relationship between CHF prevalence and demographic factors such as age and sex.
  • To investigate the correlation between CHF and hypertension (including borderline and treated cases) and obesity (measured by body mass index).

Summary:

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  • The study found an overall prevalence of 2.0% for chronic heart failure (CHF) in both male and female participants aged 20-64.
  • CHF prevalence significantly increased with age and showed a positive correlation with body mass index (BMI) in both sexes.
  • Hypertension was strongly associated with CHF; borderline hypertension increased prevalence 3.5-fold, while diagnosed hypertension increased it 4.9-fold compared to normotensive individuals. Treated hypertensive patients exhibited a higher CHF prevalence than untreated ones.

Impact:

  • Provides crucial epidemiological data on chronic heart failure (CHF) prevalence in a European adult population.
  • Highlights the significant impact of hypertension and obesity as risk factors for CHF, informing public health strategies.
  • Suggests potential areas for targeted interventions and further research into the management of hypertension in relation to CHF risk.