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Epidemiology of heart failure and left ventricular dysfunction after acute myocardial infarction

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Abstract

The development of heart failure and/or left ventricular systolic dysfunction has long been regarded as an ominous complication, significantly increasing the morbidity and short- and long-term mortality of survivors of acute myocardial infarction. Although the incidence of heart failure after myocardial infarction has fallen over the last few decades, it remains common, complicating up to 45% of infarcts. Moreover, up to 60% of myocardial infarcts will result in left ventricular systolic dysfunction, depending on the exact definition used. Those at greatest risk of developing heart failure are the elderly, females, and those with prior myocardial infarction. Advances in the management of acute myocardial infarction have led to reduced in-hospital mortality (even when complicated by heart failure), but longerterm mortality remains high in these patients.

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Authors and Affiliations

  1. Department of Cardiology, Western Infirmary, G11 6NT, Glasgow, UK

    John J. V. McMurray MD, FRCP, FESC

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  1. Robin A. P. Weir BSc, MB, ChB, MRCP
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  2. John J. V. McMurray MD, FRCP, FESC
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Correspondence to John J. V. McMurray MD, FRCP, FESC.

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Weir, R.A.P., McMurray, J.J.V. Epidemiology of heart failure and left ventricular dysfunction after acute myocardial infarction. Curr Heart Fail Rep 3, 175–180 (2006). https://doi.org/10.1007/s11897-006-0019-5

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  • DOI: https://doi.org/10.1007/s11897-006-0019-5

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