Abstract
Heart failure is defined as cardiac pumping dysfunction with circulatory and neurohormonal responses and develops as a consequence of cardiac disease1. Ischemic heart disease accounts for more than 60% of all cases with heart failure. In a substantial number of cases the aetiology is unknown and the term idiopathic cardiomyopathy is used. The importance of valvular disease and hypertension as a cause of heart failure has declined steadily2. Heart failure has become one of the most prevalent cardiovascular disorders and represents a significant clinical and financial burden in the Western World 3. The prevalence is expected to increase further, predominantly due to aging of the population, higher survival rates after acute myocardial infarction and longer survival of persons with heart disease. Furthermore, simulation models predict a transition from acute to chronic cardiovascular disease due to a significant increase in age adjusted ischemic heart disease in the Netherlands by 2010, that is largely attributable to heart failure 4. The prevalence in the general population ranges from 1.0 to 5.0 individuals per 1000 with a steep increase to 30 to 130 individuals per 1000 for those aged over 65 years5,6. Between 1980 and 1992, the annual number of hospital admissions in the Netherlands increased almost by 70%, and in 1989 the health care costs were Dfl 436 million or 1% of the national health care budget6. In the US it is estimated that 3 million individuals are afflicted by heart failure and nearly 500,000 new cases are diagnosed each year. In 1989 the associated health care cost were more than $8 billion 7.
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Brouwer, R.M.H.J., van den Berg, M.P., Mooyaard, E.L. (1998). Surgical Treatment of Heart Failure. In: Van Der Wall, E.E., Blanksma, P.K., Niemeyer, M.G., Vaalburg, W., Crijns, H.J.G.M. (eds) Advanced Imaging In Coronary Artery Disease. Developments in Cardiovascular Medicine, vol 202. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0866-2_20
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DOI: https://doi.org/10.1007/978-94-007-0866-2_20
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