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Published on: June 10, 2025

Evolving Heart Failure Profiles in Quebec from 1998-2021: Insights from the Vision C+ Database

Shweta Todkar1,2, Emmanuel Marier-Tétrault3, Pierre Yves Turgeon2,4

  • 1Faculté de pharmacie, Université Laval, Quebec City, Quebec, Canada.

CJC Open
|August 18, 2026
PubMed

Insights

This study analyzed heart failure (HF) patient data from Quebec

Area of Science:

  • Cardiology
  • Public Health
  • Health Informatics

Background:

  • Heart failure (HF) impacts over 750,000 Canadians, leading to significant hospitalizations.
  • Specialized HF clinics offer structured care, but population-level data are scarce.
  • The Vision C+ dataset, established in 1998, offers a comprehensive view of HF patient characteristics in Quebec.

Purpose of the Study:

  • To describe changes in heart failure patient characteristics over time.
  • To analyze trends in HF subtypes, comorbidities, and treatments.
  • To provide population-level insights from the Vision C+ electronic medical record.

Main Methods:

  • Retrospective cross-sectional analysis of adult patients in Quebec outpatient HF clinics (1998-2021).
  • Utilized the Vision C+ electronic medical record for baseline data at inscription.
  • Compared patient data across two periods: 1998-2009 and 2010-2021.

Main Results:

  • Analyzed data from 63,755 patients (median age 77, 65% male).
  • HF with preserved ejection fraction increased (31% vs 26%) in the later period.
  • New York Heart Association class III-IV and ischemic etiology decreased in the later period.

Conclusions:

  • The Vision C+ dataset provides the first comprehensive description of outpatient HF populations.
  • Later periods show increased HF with preserved ejection fraction, high multimorbidity, and reduced ischemic disease.
  • These findings highlight evolving HF patient profiles in specialized clinics.
Abstract

Keywords:
New York Heart AssociationProvince of QuébecVision C+ electronic medical recordheart failureheart failure phenotypes

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