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Heart failure in immigrant groups: a cohort study of adults aged 45 years and over in Sweden

Per Wändell1, Axel C Carlsson1, Xinjun Li2

  • 1a Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Huddinge , Sweden.

Scandinavian Cardiovascular Journal : SCJ
|November 18, 2018
PubMed

Insights

Certain immigrant groups, particularly refugees, face a higher risk of developing congestive heart failure (CHF). Awareness and timely diagnosis are crucial for managing this condition.

Area of Science:

  • Cardiovascular Epidemiology
  • Public Health
  • Immigration Health

Background:

  • Previous studies indicate elevated risks for coronary heart disease and atrial fibrillation in immigrant populations.
  • The risk of congestive heart failure (CHF) among immigrants remains less understood.

Purpose of the Study:

  • To investigate the incidence of congestive heart failure (CHF) in various immigrant groups residing in Sweden.
  • To compare CHF risk between immigrant populations and the native-born Swedish population.

Main Methods:

  • A population-based cohort study in Sweden (1998-2012) included 3,274,119 adults aged ≥45 years.
  • Congestive heart failure (CHF) was identified through the National Patient Register.
  • Cox regression models, stratified by sex and adjusted for covariates, were used to assess incident CHF risk.

Main Results:

  • A total of 302,340 CHF events (9.2%) were recorded over a 14-year follow-up.
  • Higher CHF incidence was observed in men and women from Bosnia, Iraq, and Lebanon.
  • Lower incidence rates were noted in men and women from Iceland, Norway, and Western Europe.

Conclusions:

  • Specific immigrant groups, especially refugees, exhibit an increased incidence of congestive heart failure (CHF).
  • Increased awareness is vital for early diagnosis, effective treatment, and prevention of CHF complications.
Abstract

Keywords:
Congestive heart failurefirst generation immigrantsgenderneighborhoodsecond generation immigrantssocio-economic status

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