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Etiology and characteristics of congestive heart failure in blacks

J Mathew1, S Davidson, L Narra

  • 1Department of Medicine, Cook County Hospital, Chicago, Illinois 60612, USA.

The American Journal of Cardiology
|December 15, 1996
PubMed

Insights

Systemic hypertension is the leading cause of congestive heart failure (CHF) in Black patients, affecting 61%. Left ventricular hypertrophy is also common, found in 63% of those who underwent echocardiography.

Area of Science:

  • Cardiology
  • Public Health

Background:

  • Congestive heart failure (CHF) poses a significant health burden, particularly in specific demographic groups.
  • Understanding the primary etiologies and prevalent comorbidities of CHF is crucial for effective patient management.

Purpose of the Study:

  • To identify the most common causes of congestive heart failure (CHF) in a cohort of Black patients.
  • To determine the prevalence of left ventricular hypertrophy (LVH) in this patient population.

Main Methods:

  • Retrospective analysis of 301 Black patients diagnosed with congestive heart failure (CHF).
  • Review of medical records to ascertain the primary etiology of CHF.
  • Analysis of echocardiogram results to assess the prevalence of left ventricular hypertrophy (LVH).

Main Results:

  • Systemic hypertension was identified as the most frequent cause of CHF, accounting for 61% of cases.
  • Left ventricular hypertrophy (LVH) was highly prevalent, observed in 63% of patients who had an echocardiogram.

Conclusions:

  • Systemic hypertension is a critical risk factor and primary driver of congestive heart failure (CHF) among Black individuals.
  • The high prevalence of left ventricular hypertrophy (LVH) underscores the impact of hypertension on cardiac structure in this population.

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