Current Heart Failure Reports

, Volume 9, Issue 4, pp 363–368

Comparing New Onset Heart Failure with Reduced Ejection Fraction and New Onset Heart Failure with Preserved Ejection Fraction: An Epidemiologic Perspective

  • Frank P. Brouwers
  • Hans L. Hillege
  • Wiek H. van Gilst
  • Dirk J. van Veldhuisen
Epidemiology of Heart Failure (J Butler, Section Editor)

DOI: 10.1007/s11897-012-0115-7

Cite this article as:
Brouwers, F.P., Hillege, H.L., van Gilst, W.H. et al. Curr Heart Fail Rep (2012) 9: 363. doi:10.1007/s11897-012-0115-7

Abstract

The incidence and prevalence of heart failure is increasing, especially heart failure with preserved ejection fraction (HFpEF) relative to heart failure with reduced ejection fraction (HFrEF). For both HFrEF and HFpEF, there is need to shift our focus from secondary to primary prevention. Detailed epidemiologic data on both HFpEF and HFrEF are needed to allow early identification of at-risk subjects. Current cohorts with new onset heart failure lack uniformity with respect to diagnosis, follow-up, and population characteristics, but most important, fail to distinguish between HFpEF and HFrEF. Studies on prevalent heart failure show ischemic heart disease as the predominant risk factor for HFrEF, while hypertension, atrial fibrillation, and diabetes are risk factors for HFpEF. As it becomes increasingly clear that both subtypes of heart failure are different syndromes, new cohorts and trials are necessary to obtain separate data on both subtypes of heart failure.

Keywords

New onset heart failureLeft ventricular ejection fractionHFrEFHFpEFEpidemiologyPrevention

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Frank P. Brouwers
    • 1
  • Hans L. Hillege
    • 1
  • Wiek H. van Gilst
    • 1
  • Dirk J. van Veldhuisen
    • 1
  1. 1.Department of CardiologyUniversity Medical Center Groningen, University of GroningenGroningenThe Netherlands