Epidemiology of Heart Failure in Asia

Abstract

There are a limited number of reports regarding the prevalence of HF in Asia (range, 1.26-6.7%). 5-8 A survey of the adult (aged ≥35 years) population in Xinjiang, China (n=8,459), reported that the prevalence of CHF was 1.26% (0.89%, 1.11% and 2.14% in the Han, Uygur and Hazakh populations, respectively), with an increase in the proportion with aging of 0.29%, 0.60%, 1.32%, 2.55% and 4.10% for the 35-44, 45-54, 55-64, 65-74, and ≥75 years age groups, respectively. 5 A single center-based study in Malaysia reported that the prevalence of HF among 1,435 acute medical admissions to the Kuala Lumpur General Hospital over the 4-week study period was 6.7%. 6 The age distribution of HF prevalence was 6.7%, 10.7%, 18.8%, 23.5%, 30.8% and 9.53% for age <40, 40-49, 50-59, 60-69, 70-79 and ≥80 years, respectively, in a hospital-based study in Epidemiology of Heart Failure in AsiaYasuhiko Sakata, MD, PhD; Hiroaki Shimokawa, MD, PhD Heart failure (HF) is a global epidemic in health care and a leading cause of mortality and morbidity worldwide. In Asian countries, causes of mortality and morbidity have shifted or have been shifting from infectious diseases and/ or nutritional deficiencies to lifestyle-related diseases, such as cardiovascular disease, cancers and diabetes, in conjunction with the transition from developing to developed countries during the past decades (so-called "the epidemiologic transition"). Because the effect of this epidemiologic transition varies among countries, the etiology, prevalence, management and outcomes of HF also differ among the countries. Thus, we need to assemble and comprehensively analyze the available evidence to date for daily HF practice in Asia and to systematically conduct future epidemiologic approaches to establishing appropriate prevention programs against the burden of HF in Asia. This review article will briefly update the epidemiology of HF in Asia. (Circ J 2013; 77: 2209 -2217

9‐Year Trend in the Management of Acute Heart Failure in Japan: A Report From the National Consortium of Acute Heart Failure Registries

“…In the United States, there are over 1 million hospital admissions annually for acute heart failure (AHF), which results in a cost‐of‐care of more than US$30 billion per year 1. Similar trends are observed in Asian and European countries 2, 3…”

“…Heart failure (HF) has become a public health burden globally because of the associated high morbidity and cost 1, 2, 3. In the United States, there are over 1 million hospital admissions annually for acute heart failure (AHF), which results in a cost‐of‐care of more than US$30 billion per year 1.…”

Efficacy and Safety of Ultrafiltration in Decompensated Heart Failure Patients With Renal Insufficiency

“…[1][2][3] Despite modern management strategies for patients with HF, 4) patients have a 5-year mortality of 75% following a first hospital admission for heart failure, a survival rate worse than that for most forms of cancer. 5) It is known that nearly 90% of HF patients are hospitalized due to symptoms of volume overload, 6) thus, intravenous loop diuretics remain the first-line therapy for HF.…”

Hubungan Kadar Apelin dengan Disfungsi Diastol pada Penderita Gagal Jantung dengan Fraksi Ejeksi Normal

“…Indonesia belum memiliki data pasti tentang prevalensi penyakit jantung, di RS Jantung Harapan Kita setiap hari ada sekitar 400-500 penderita berobat jalan dan sekitar 65% adalah penderita gagal jantung. 1,2 Registri di Asia, yaitu di Jepang menyatakan bahwa lebih dari separuh (65,2%) penderita gagal jantung memiliki fraksi ejeksi ventrikel kiri yang normal atau mendekati normal dan dikenal dengan istilah heart failure with preserved ejection fraction (HFPEF) dengan hipertensi dan usia tua sebagai faktor risiko utama. Penelitian skala besar mengenai gagal jantung di Eropa menyatakan bahwa penderita gagal jantung dengan fraksi ejeksi normal memiliki angka kematian yang sama seperti pada penderita gagal jantung dengan penurunan fraksi ejeksi.…”