Advertisement

Heart Failure Reviews

, Volume 12, Issue 2, pp 91–95 | Cite as

Epidemiology of acute heart failure syndromes

  • François Alla
  • Faiez ZannadEmail author
  • Gerasimos Filippatos
Article

Abstract

Acute Heart Failure is a heterogeneous set of syndromes associated with significant morbidity and mortality. There are several classifications of acute heart failure syndromes (AHFS) based on pathophysiology or clinical presentation. In the USA and in Europe, AHFS are the first cause of hospitalization of the elderly, and the leading health care cost. Despite this clinical and social importance, AHFS have received little attention from clinicians and researchers. Recently published epidemiological studies described clinical presentation, characteristics and treatment of over 100,000 patients hospitalized with AHFS. These studies also underlined the poor, short, and medium term prognosis, especially for the most severe patients admitted to an intensive care unit, with in-hospital mortality of 28%. Further epidemiological and clinical research is needed to improve our understanding of AHFS, thereby enhancing patient care.

Keywords

Acute heart failure Epidemiology Prognosis pulmonary edema Cardiogenic shock 

References

  1. 1.
    Adams KF Jr, Fonarow GC, Emerman CL, LeJemtel TH, Costanzo MR, Abraham WT, Berkowitz RL, Galvao M, Horton DP, ADHERE Scientific Advisory Committee and Investigators (2005) Characteristics and outcomes of patients hospitalized for heart failure in the United States: rationale, design, and preliminary observations from the first 100,000 cases in the Acute Decompensated Heart Failure National Registry (ADHERE). Am Heart J 149:209–216PubMedCrossRefGoogle Scholar
  2. 2.
    Cleland JG, Swedberg K, Follath F, Komajda M, Cohen-Solal A, Aguilar JC, Dietz R, Gavazzi A, Hobbs R, Korewicki J, Madeira HC, Moiseyev VS, Preda I, van Gilst WH, Widimsky J, Freemantle N, Eastaugh J, Mason J (2003) The EuroHeart Failure survey programme-a survey on the quality of care among patients with heart failure in Europe. Part 1: patient characteristics and diagnosis. Eur Heart J 24:442–463PubMedCrossRefGoogle Scholar
  3. 3.
    Komajda M, Follath F, Swedberg K, Cleland J, Aguilar JC, Cohen-Solal A, Dietz R, Gavazzi A, Van Gilst WH, Hobbs R, Korewicki J, Madeira HC, Moiseyev VS, Preda I, Widimsky J, Freemantle N, Eastaugh J, Mason J (2003) The EuroHeart Failure survey programme-a survey on the quality of care among patients with heart failure in Europe. Part 2: treatment. Eur Heart J 24:464–474PubMedCrossRefGoogle Scholar
  4. 4.
    Nieminen MS, Brutsaert D, Dickstein K, Drexler H, Follath F, Harjola VP, Hochadel M, Komajda M, Lassus J, Lopez-Sendon JL, Ponikowski P, Tavazzi L, on behalf of the EuroHeart Survey Investigators (2006) EuroHeart Failure Survey II (EHFS II): a survey on hospitalized acute heart failure patients: description of population. Eur Heart J 27:2725–2736PubMedCrossRefGoogle Scholar
  5. 5.
    Zannad F, Mebazaa A, Juillière Y, Cohen-Solal A, Guize L, Alla F, Rougé P, Blin P, Barlet MH, Paolozzi L, Vincent C, Desnos M, Samii K, for the EFICA Investigators (2006) Clinical profile, contemporary management and one-year mortality in patients with severe acute heart failure syndromes: the EFICA study. European Journal of Heart Failure 2006, Eur J Heart Fail 8:697–705PubMedCrossRefGoogle Scholar
  6. 6.
    Tavazzi L, Maggioni AP, Lucci D, Cacciatore G, Ansalone G, Oliva F, Porcu M (2006) Nationwide survey on acute heart failure in cardiology ward services in Italy. Eur Heart J 27:1207–1215PubMedCrossRefGoogle Scholar
  7. 7.
    Siirila-Waris K, Lassus J, Melin J, Peuhkurinen K, Nieminen MS, Harjola VP (2006) Characteristics, outcomes, and predictors of 1-year mortality in patients hospitalized for acute heart. failure. Eur Heart J 27:3011–3017PubMedCrossRefGoogle Scholar
  8. 8.
    Nieminen MS, Hariola VP (2005) Definition and epidemiology of acute heart failure syndromes. Am J Cardiol 96(suppl):5G–10GPubMedCrossRefGoogle Scholar
  9. 9.
    Yancy CW, Lopatin M, Stevenson LW, De Marco T, Fonarow GC, for the ADHERE Scientific Advisory Committee, Investigators (2006) Clinical presentation, management, and in-hospital outcomes of patients admitted with acute decompensated heart failure with preserved systolic function: a report from the acute decompensated heart failure national registry (ADHERE) Database. J Am Coll Cardiol 47(1):76–84PubMedCrossRefGoogle Scholar
  10. 10.
    Rudiger A, Harjola VP, Muller A, Mattila E, Saila P, Nieminen M, Follath F (2005) Acute heart failure: clinical presentation, one-year mortality and prognostic factors. Eur J Heart Fail 7:662–670PubMedCrossRefGoogle Scholar
  11. 11.
    Gheorghiade M, Zannad F, Sopko G, Klein L, Pina IL, Konstam MA, Massie BM, Roland E, Targum S, Collins SP, Filippatos G, Tavazzi L, International Working Group on Acute Heart Failure Syndromes (2005) Acute heart failure syndromes: current state and framework for future research. Circulation 112:3958–3968PubMedCrossRefGoogle Scholar
  12. 12.
    Stewart S, MacIntyre K, MacLeod MM, Bailey AE, Capewell S, McMurray JJ (2001) Trends in hospitalization for heart failure in Scotland, 1990–1996. An epidemic that has reached its peak? Eur Heart J 22:209–217PubMedCrossRefGoogle Scholar
  13. 13.
    Bundkirchen A, Schwinger RHG (2004) Epidemiology and economic burden of chronic heart failure. Eur Heart J Supplements 6(suppl D):D57–D60CrossRefGoogle Scholar
  14. 14.
    Berry C, Murdoch DR, McMurray JVJ (2001) Economics of chronic heart failure. Eur J Heart Fail 3:283–291PubMedCrossRefGoogle Scholar
  15. 15.
    Remme WJ, McMurray JJ, Rauch B, Zannad F, Keukelaar K, Cohen-Solal A, Lopez-Sendon J, Hobbs FD, Grobbee DE, Boccanelli A, Cline C, Macarie C, Dietz R, Ruzyllo W (2005) Public awareness of heart failure in Europe: first results from SHAPE. Eur Heart J 26:2413–2421PubMedCrossRefGoogle Scholar
  16. 16.
    Zannad F (2005) Acute heart failure syndromes : the ‘Cinderella’ of heart failure research. Eur Heart J Supplements 7(suppl B):B8–B12CrossRefGoogle Scholar
  17. 17.
    Nieminen MS, Bohm M, Cowie MR, Drexler H, Filippatos GS, Jondeau G, Hasin Y, Lopez-Sendon J, Mebazaa A, Metra M, Rhodes A, Swedberg K, Priori SG, Garcia MA, Blanc JJ, Budaj A, Cowie MR, Dean V, Deckers J, Burgos EF, Lekakis J, Lindahl B, Mazzotta G, Morais J, Oto A, Smiseth OA, Garcia MA, Dickstein K, Albuquerque A, Conthe P, Crespo-Leiro M, Ferrari R, Follath F, Gavazzi A, Janssens U, Komajda M, Morais J, Moreno R, Singer M, Singh S, Tendera M, Thygesen K, ESC Committe for Practice Guideline (CPG) (2005) Executive summary of the guidelines on the diagnosis and treatment of acute heart failure: the task force on acute heart failure of the european society of cardiology. Eur Heart J 26:384–416PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • François Alla
    • 1
  • Faiez Zannad
    • 2
    • 3
    • 4
    Email author
  • Gerasimos Filippatos
    • 5
  1. 1.Epidemiology, INSERM-University HospitalNancy-UniversityNancyFrance
  2. 2.Clinical Investigation Center, INSERM-CHUToulFrance
  3. 3.Cardiology DivisionUniversity HospitalNancyFrance
  4. 4.Nancy-UniversityNancyFrance
  5. 5.Heart Failure Unit, Department of CardiologyAthens University Hospital AttikonAthensGreece

Personalised recommendations