Prevalence and incidence of heart failure among community in China during a three-year follow-up

Lu FU; Jun-Rong JIANG; Wei-Dong LIN; Hui-Yi LIU; Shu-Yu JIN; Xing-Dong YE; Yan-Lin CHEN; Si-Jia PU; Yang LIU; Shang-Fei HE; Shu-Lin WU; Hai DENG; Yu-Mei XUE

doi:10.26599/1671-5411.2023.04.008

Volume 20 Issue 4

Apr. 2023

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Article Navigation > Journal of Geriatric Cardiology > 2023 > 20(4): 284-292

Please cite this article as: FU L, JIANG JR, LIN WD, LIU HY, JIN SY, YE XD, CHEN YL, PU SJ, LIU Y, HE SF, WU SL, DENG H, XUE YM. Prevalence and incidence of heart failure among community in China during a three-year follow-up. J Geriatr Cardiol 2023; 20(4): 284−292. DOI: 10.26599/1671-5411.2023.04.008

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Please cite this article as: FU L, JIANG JR, LIN WD, LIU HY, JIN SY, YE XD, CHEN YL, PU SJ, LIU Y, HE SF, WU SL, DENG H, XUE YM. Prevalence and incidence of heart failure among community in China during a three-year follow-up. J Geriatr Cardiol 2023; 20(4): 284−292. DOI: 10.26599/1671-5411.2023.04.008

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Prevalence and incidence of heart failure among community in China during a three-year follow-up

doi: 10.26599/1671-5411.2023.04.008

Lu FU¹,
Jun-Rong JIANG¹,
Wei-Dong LIN¹,
Hui-Yi LIU¹,
Shu-Yu JIN^{1, 2},
Xing-Dong YE¹,
Yan-Lin CHEN¹,
Si-Jia PU^{1, 3},
Yang LIU¹,
Shang-Fei HE⁴,
Shu-Lin WU^{1, 5},
Hai DENG^{1, 6
,
,},
Yu-Mei XUE^{1, 5
,
,}

1.
Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
2.
The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China
3.
School of Medicine, South China University of Technology, Guangzhou, China
4.
Department of Cardiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
5.
Guangdong Provincial Key Laboratory of Clinical Pharmacology, Research Center of Medical Sciences, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China
6.
Qinghai Province Cardio Cerebrovascular Disease Specialist Hospital, Xining, China

More Information

Corresponding author: doctordh@hotmail.com (DENG H); xymgdci@163.com (XUE YM)
Publish Date: 2023-04-28

Abstract

Abstract

BACKGROUND Epidemiological surveys on heart failure (HF) in Chinese community are relatively lacking. This study aimed to estimate the prevalence and incidence of HF among community residents in southern China. METHODS Baseline data of this prospective study was collected from 2015 to 2017 among 12,013 permanent residents aged ≥ 35 years in Guangzhou, China. The same survey process was carried out for individuals aged ≥ 65 years after a three-year follow-up. RESULTS The overall prevalence of HF in community residents aged ≥ 35 years was 1.06%. Male had significantly higher risk of HF prevalence [odds ratio (OR) = 1.50, P = 0.027]. The gender-adjusted risk of HF was 1.48 times higher per 10 years aging. HF prevalence was statistically associated with atrial fibrillation, valvular heart disease, hypertension and chronic obstructive pulmonary disease after adjusting for age and gender (OR = 8.30, 5.17, 1.11, 2.28, respectively; all P < 0.05). HF incidence in individuals aged ≥ 65 years were 847 per 100,000 person-years. Baseline atrial fibrillation, valvular heart disease, and diabetes mellitus were risk factors for HF incidence for individuals aged ≥ 65 years adjusting for age and gender (OR = 5.05, 3.99, 2.11, respectively; all P < 0.05). Besides, residents with new-onset atrial fibrillation and myocardial infarction were at significantly higher risk of progression to HF (OR = 14.41, 8.54, respectively; all P < 0.05). CONCLUSIONS Both pre-existing and new-onset cardiovascular diseases were associated with HF incidence in southern China. Management of related cardiovascular diseases may be helpful to reduce the incidence of HF.

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References(30)

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