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[Heart failure prevalence and predictors in Turkey: HAPPY study]
Muzaffer Değertekin1, Cetin Erol, Oktay Ergene
1Department of Cardiology, Yeditepe University Hospital, İstanbul, Turkey. muzafferd@hotmail.com
Summary
Heart failure (HF) and asymptomatic left ventricular dysfunction (ASVD) are more prevalent in Turkey than in Western countries. Early detection of ASVD may prevent HF progression, reducing overall prevalence.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Context:
- Heart failure (HF) is a growing global health concern.
- Understanding regional prevalence and risk factors is crucial for public health strategies.
- Turkey's population demographics may influence cardiovascular disease patterns.
Purpose:
- To determine the prevalence of heart failure (HF) and asymptomatic left ventricular dysfunction (ASVD) in adult Turkish residents.
- To identify independent predictors of HF in the Turkish population.
- To compare HF and ASVD prevalence in Turkey with Western countries.
Summary:
- This study assessed 4650 residents aged ≥ 35 years using echocardiography and NT-proBNP levels.
- Prevalence rates were 2.9% (absolute) and 6.9% (estimated) for HF, and 4.8% (absolute) and 7.9% (estimated) for ASVD.
- Advanced age, male gender, history of heart disease, hypertension (HT), and chronic renal failure (CRF) were independent predictors of HF.
Impact:
- HF and ASVD prevalence in Turkey exceed those in Western countries, despite a younger population.
- Established HF predictors are relevant in Turkey.
- Early detection and treatment of ASVD could potentially decrease HF prevalence in Turkey.
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