Portal de Periódicos da CAPES

Prevalence of heart failure in Asturias (a region in the North of Spain)

2001; Elsevier BV; Volume: 87; Issue: 12 Linguagem: Inglês

10.1016/s0002-9149(01)01568-5

1879-1913

A. Cortina, J.J.R. Reguero, Eduardo Segovia, José Luis Lambert, R. Cortina, Juan Carlos Arias, Javier Vara, Fernando De la Torre,

Cardiac pacing and defibrillation studies

Considerable disagreement exists on data published on the prevalence of heart failure. 1 Rodeheffer R.J Jacobson S.J Gersh B.J Kottke T.E McCann H.A Bayley K.R Ballard A.J The incidence and prevalence of congestive heart failure in Rochester, Minnesota. Mayo Clinic Proc. 1993; 68: 1143-1150 Abstract Full Text Full Text PDF PubMed Scopus (150) Google Scholar , 2 McKee P.A Castelli W.P McNamara P.M Kannel W.B The natural history of congestive heart failure The Framingham study. N Engl J Med. 1971; 285: 1141-1146 Crossref Scopus (2754) Google Scholar , 3 Ho K.L Pinsky J.L Kannel W.B Levy D The epidemiology of heart failure the Framingham study. J Am Coll Cardiol. 1993; 22: 6A-13A Abstract Full Text PDF PubMed Scopus (1910) Google Scholar , 4 Eriksson H Heart failure A growing public health problem. J Intern Med. 1995; 237: 135-141 Crossref PubMed Scopus (204) Google Scholar , 5 Senni M Tribouillay C.M Rodeheffer R.J Jacobsen S.J Evans J.M Bailey K.R Radfield M.M Congestive heart failure in the community a study of all incident cases in Olmsted country, Minnesota in 1991. Circulation. 1998; 98: 282-289 Crossref Scopus (960) Google Scholar , 6 Cortina A Fuster V Congestive heart failure concept, extent of the problem and natural history. in: Cortina A Moris C Lambert J.L.R Cortina R Congestive Cardiac Failure. Prous Editores, Barcelona, Spain1992: 8-13 Google Scholar However, studies on both the prevalence and natural history of heart failure generally tend to be retrospective and to have been performed in patients referred to specialized centers (most of whom are in advanced stages of heart failure). Therefore, these patients are not representative of congestive heart failure in the community. 6 Cortina A Fuster V Congestive heart failure concept, extent of the problem and natural history. in: Cortina A Moris C Lambert J.L.R Cortina R Congestive Cardiac Failure. Prous Editores, Barcelona, Spain1992: 8-13 Google Scholar , 7 Barry M.M Nihir B Shah B The heart failure epidemic magnitude of the problem and potential mitigating approaches. Curr Opin Cardiol. 1996; 11: 221-226 Crossref PubMed Scopus (68) Google Scholar , 8 Mosterd A Hoes A.W Bruyne M.C Prevalence of heart failure and symptomatic left ventricular dysfunction in the general population. The Rotterdam study. Eur Heart J. 1999; 20: 447-455 Crossref PubMed Scopus (583) Google Scholar Because of the lack of diagnostic criteria and data on the prevalence of heart failure, we conducted a field study in 1996 to establish its prevalence of this in our community. For these reasons we followed the Framingham clinical criteria of heart failure 3 Ho K.L Pinsky J.L Kannel W.B Levy D The epidemiology of heart failure the Framingham study. J Am Coll Cardiol. 1993; 22: 6A-13A Abstract Full Text PDF PubMed Scopus (1910) Google Scholar (Table 1). We also included 2 dimensional echo-Doppler examinations to stratify heart failure into systolic or diastolic failure. 9 Gaasch W.H Dagnosis and treatment of heart failure based on left ventricular systolic or diastolic dysfunction. JAMA. 1994; 271: 276-280 Crossref Scopus (200) Google Scholar , 10 Marantz P.R Tobin J.N Derby C.A Cohen M.V Age-associated changes in diastolic filling? Doppler E/A ratio is not associated with congestive heart failure in the elderly. South Med J. 1994; 87: 728-735 Crossref PubMed Scopus (18) Google Scholar , 11 Cohen G.T Pietrolungo J.F Thomas J.D Klein A.L A practical guide to assessment of ventricular diastolic function using Doppler echocardiography. J Am Coll Cardiol. 1996; 27: 1753-1760 Abstract Full Text PDF PubMed Scopus (305) Google Scholar Table 1Criteria for Heart Failure legend CHF = congestive heart failure. Major Criteria Paroxysmal nocturnal dyspnea Neck vein distension Rales Radiographic cardiomegaly (increasing heart size on chest x-ray film) Acute pulmonary edema Third sound gallop Increased central venous pressure (>16 cm water at the right atrium) Circulation time ≥25 s Hepatojugular reflux Pulmonary edema, visceral congestion, or cardiomegaly at autopsy Weight loss ≥4.5 kg in response to treatment of CHF ∗ The diagnosis of congestive heart failure requires that 2 major or 1 major and 2 minor criteria be present concurrently. Minor Criteria Bilateral ankle edema Nocturnal cough Dyspnea on ordinal exertion Hepatomegaly Pleural effusion Decrease in vital capacity by 33% from maximal value recorded Tachycardia (rate ≥120 beats/min) ∗ The diagnosis of congestive heart failure requires that 2 major or 1 major and 2 minor criteria be present concurrently. legend CHF = congestive heart failure. Open table in a new tab