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Heart failure can affect everyone: the ESC Geoffrey Rose lecture
Karen Sliwa1,2,3
1Department of Medicine, Faculty of Health Sciences, Hatter Institute for Cardiovascular Research in Africa, University of Cape Town, 3 Anzio road, Observatory 7925, Cape Town, South Africa.
European Heart Journal
|March 3, 2020
Summary
Heart failure (HF) affects all populations, not just the elderly. Addressing widespread risk factors is crucial for global health, moving beyond individual-focused treatments.
Area of Science:
- Cardiology
- Public Health
Background:
- The Geoffrey Rose concept of 'sick individuals vs. sick population' remains relevant for understanding heart failure (HF).
- HF is a global health issue affecting diverse demographics, not solely the elderly.
- Complex pathways, including risk factors, socioeconomic status, and healthcare access, contribute to HF prevalence.
Purpose of the Study:
- To re-evaluate the applicability of Geoffrey Rose's population health principles to contemporary heart failure.
- To emphasize the global burden of heart failure across all age groups and genders.
- To advocate for a shift in focus from individual high-risk interventions to population-level risk factor management.
Main Methods:
- This article is a perspective piece, expanding on a lecture presented at the European Society of Cardiology meeting (2019).
- It synthesizes existing knowledge on heart failure epidemiology and risk factors.
- It reflects on the principles of population health in the context of heart failure.
Main Results:
- Heart failure affects a broad demographic spectrum globally, irrespective of age or gender.
- Multiple interconnected factors contribute to HF, including communicable diseases, environmental exposures, poverty, and healthcare inequities.
- Current approaches may overemphasize targeting high-risk individuals rather than addressing population-wide risk distribution.
Conclusions:
- A population-level approach is essential for effectively managing heart failure globally.
- Addressing socioeconomic determinants and widespread risk factors is critical for reducing the burden of HF.
- Global health strategies must evolve to incorporate population-wide interventions for heart failure prevention and management.
Keywords:
Endomyocardial fibrosisCardiovascular disease in AfricaChagas diseaseHeart failureHeart of AfricaRheumatic heart diseaseMore Related Videos
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