Key result
Hypertension and ischemic heart disease are linked to a ~29% chronic heart failure prevalence.
Why the study?
The study evaluated the prevalence of CHF in patients with arterial hypertension and ischemic heart disease, and the specificity of CHF across different sexes and age groups.
Observational (n=2,048)
Chronic heart failure is highly prevalent (29%) in patients with hypertension and ischemic heart disease, with reduced ejection fraction being more common in men and preserved ejection fraction more common in women.
Supports routine CHF evaluation in hypertension with IHD; leaves open sex-specific phenotypes pending prospective confirmation.
Studying of the prevalence of CHF in patients with arterial hypertension and ischemic heart disease, and of the specifity of CHF in patients of different sex and age. Retrospective analysis of CHF prevalence in 2048 patients, prospective study of different types of CHF in 285 patients with conduction of echocardiography and 6 min walk test. The prevalence of CHF in our group was 29 %, in men it was found 2.8 times more often than in women. 71 % of patients with CHF were older than 60 years. Significant differences were revealed in etiology of CHF in men and women, and in patients of different age. CHF with E < 45 % was diagnosed in 35.8 % of patients, men had this type of CHF 5.8 times more often than women. CHF with preserved EF was in 64.2 % of patients, the amount of women with this variant of CHF increases to 33.3 %. Purposeful examination of patients with arterial hypertension and IHD is needed for early detection of CHF.
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Aleksandrova et al. (2020) conducted an observational in Chronic heart failure, arterial hypertension, ischemic heart disease (n=2,048).
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