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Epidemiological Aspects (Prevalence and Risk of Heart Failure Related to Blood Pressure)

  • Peter Wohlfahrt
  • Renata Cífková
Chapter
Part of the Updates in Hypertension and Cardiovascular Protection book series (UHCP)

Abstract

Heart failure (HF) is a common, highly morbid, and costly clinical syndrome with a growing impact on global public health. Hypertension is the most prevalent risk factor for HF and carries the highest population attributable risk among all risk factors for HF. Approximately 40% of HF cases in men and 60% in women are attributed to hypertension. Epidemiological aspects of HF differ by HF type. Patients with HF with preserved ejection fraction (HFpEF), as compared to HF with reduced ejection fraction (HFrEF), are older and have hypertension and atrial fibrillation more frequently, while a history of myocardial infarction is less common. Furthermore, the incidence and prevalence of HFpEF increase more steeply with age as compared to HFrEF. The reasons for HF epidemic differ by country income. While in high-income countries it is largely driven by aging of the population, in middle- and low-income countries it is also related to the increase in age-standardized prevalence of hypertension. Absence of hypertension, obesity, and diabetes substantially prolongs HF-free survival and life expectancy. Treatment of hypertension, particularly in individuals aged over 60 years, is associated with the largest reduction of HF compared to other cardiovascular events. This chapter describes in detail the epidemiological aspects and trajectories of the relationship between hypertension and HF.

Keywords

Definition of heart failure Classification of heart failure Prevalence of heart failure Incidence of heart failure Heart failure with reduced ejection fraction Heart failure with preserved ejection fraction Heart failure with midrange ejection fraction Mortality in heart failure 

Notes

Acknowledgement

Supported by grant No. 15-27109A provided by the Ministry of Health of the Czech Republic.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Peter Wohlfahrt
    • 1
  • Renata Cífková
    • 1
    • 2
  1. 1.Center for Cardiovascular PreventionCharles University in Prague, First Faculty of Medicine and Thomayer HospitalPragueCzech Republic
  2. 2.Department of Medicine IICharles University in Prague, First Faculty of MedicinePragueCzech Republic

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