Russian Heart Failure Journal 2009year Prevalence and etiology of chronic heart failure in Ryazan region (by data of the study “EPOCH” in-patient phase)

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Prevalence and etiology of chronic heart failure in Ryazan region (by data of the study “EPOCH” in-patient phase)

Yakushin S.S., Smirnova E.A.



Urgency. Multiple studies have addressed issues of CHF epidemiology both in Russia and abroad; however obtained data are inconsistent, largely due to different methods for evaluation of CHF prevalence. Aim. To study CHF prevalence based on standardized evaluation of clinical symptoms and echoCG. Materials and methods. A representative sample was studied in the Ryazan region including 953 families, 2098 people with mean age of 44.8±0.01 years. Patients with suspected CHF were identified by the presence of cardiovascular disease with dyspnea, asthenia, tachycardia and edema. 222 patients with suspected CHF underwent an in-patient examination with measurement of CHF FC by clinical condition scale (CCS) and evaluation of the LV structure and function condition using echoCG. Results. Prevalence of suspected I-IV FC CHF was 11.1% in the Ryazan region. After the in-patient examination the diagnosis of CHF was verified in 167 people. Most patients with CHF had disturbed LV diastolic function, often with impaired relaxation; 7.3% of evaluated patients had LV systolic dysfunction. A combination of IHD and arterial hypertension (AH) (80.8%) including that with diabetes mellitus (DM) (17.4%) was the most common etiological cause of CHF.
  1. Remme WJ, Swedberg K. Guidelines for the diagnosis and treatment of chronic heart failure. Task force for the diagnosis and treatment of chronic heart failure, European Society of Cardiology. Eur Heart J. 2001; 22 (17):1527–1560.
  2. Hunt SA, ACC / AHA 2005 guideline update for the diagnosis and management of chronic heart failure in the adult: a report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure). J Am Coll Cardiol. 2005; 46 (6):e1-82.
  3. Фомин И. В., Беленков Ю. Н., Мареев В. Ю. и др. Распространенность хронической сердечной недостаточности в Европейской части Российской Федерации – данные ЭПОХА – ХСН. Журнал Сердечная Недостаточность. 2006; 7 (3):112‑115.
  4. Ho KKL, Pinsky JL, Kannel WB, Levy D. The epidemiology of heart failure: Framingham study. J Am Coll Cardiol. 1993; 22 (4 suppl A):6A-13A.
  5. Агеев Ф. Т., Даниелян М. О., Мареев В. Ю., Беленков Ю. Н. Больные с хронической сердечной недостаточностью в российской амбулаторной практике: особенности контингента, диагностики и лечения (по материалам исследования ЭПОХА-О-ХСН). Журнал Сердечная Недостаточность. 2004; 5 (1):4–7.
  6. Berry C, Hogg K, Norri J et al. Heart failure with preserved left ventricular systolic function: a hospital cohort study. Heart. 2005; 91 (7):907‑913.
  7. Беленков Ю. Н., Мареев В. Ю., Агеев Ф. Т., Данелиян М. О. Первые результаты национального эпидемиологического исследования – ЭПидемиологическое Обследование больныХ ХСН в реальной прАктике (по Обращаемости) – ЭПОХА-О-ХСН. Журнал сердечная недостаточность. 2003; 3 (3):116‑120.
  8. Отрохова Е. В., Мареев В. Ю. Эпидемиологические и этиологические особенности больных сердечной недостаточностью в Смоленском регионе. Журнал Сердечная недостаточность. 2007; 8 (2):69–75.
  9. Remes J, Miettinen H, Reunanen A, Pyorala K. Validity of clinical diagnosis of heart failure in primary health care. Eur Heart J. 1991; 12 (3):315‑321.
  10. Hlatky MA, Fleg JL, Hinton PC et al. Physician practice in the management of congestive heart failure. J Am Coll Cardiol. 1986; 8 (4):966‑970.
  11. Colquhoun MC, Waine C, Monaghan MJ et al. Investigation in general practice of patients with suspected heart failure. How should the essential echocardiographic service be delivered? Br Heart J. 1995; 74 (4):335‑336.
  12. Зиц С. В. Диагностика и лечение застойной сердечной недостаточности. – 2‑ое изд., перераб. и доп. – М.: МЕДпресс, 2000. – 128 с.
  13. Мареев В. Ю., Даниелян М. О., Беленков Ю. Н. Сравнительная характеристика больных ХСН в зависимости от величины фракции выброса по результатам Российского многоцентрового исследования ЭПОХА-О-ХСН: снова о проблеме ХСН с сохранной систолической функцией левого желудочка. Журнал Сердечная Недостаточность. 2006; 7 (4):164‑171.
  14. Senni M, Tribouilloy CM; Rodeheffer R J et all. Congestive Heart Failure in the Community.A Study of All Incident Cases in Olmsted County, Minnesota, in 1991 Circulation. 1998; 98 (21):2282–2289.
  15. Cleland JG, Swedberg K, Follath F et al. The EuroHeart Failure survey programme a survey on the quality of care among patients with heart failure in Europe. Part 1: patients characteristics and diagnosis. Eur Heart J. 2003; 24 (5):442‑463.

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