High Lifetime HF Risks Point to Greater Need for Preventive Efforts
A study published on April 1 in the Journal of the American College of Cardiology compared the lifetime risks of developing heart failure (HF) among men and women and blacks and whites, and found that the very high rates of lifetime HF risks underscore the importance of population-wide preventive efforts to curb the growing burden of HF in the U.S.
In addition, a lower BMI (<25 kg/m2) was associated with a lower adjusted cumulative risk for HF in all gender-race groups through age 75 compared with a BMI of 25 kg/m2 or above. Further, participants with optimal BP (≤120/≤80 mm Hg) had lower lifetime risks for HF through age 75 compared with participants who had stage II hypertension (160/100 mm Hg) or greater, or those who had been treated for hypertension.
The researchers also performed gender-specific and race-specific estimates of lifetime HF risks according to whether participants had an antecedent myocardial infarction (MI). The lifetime risks were lower in participants who had not had a prior MI in almost all gender-race groups.
"If risk factors for HF are not treated more aggressively in both whites and blacks, HF incidence and costs will likely increase further, particularly as the U.S. population ages," the authors note. They conclude that the data "should help clinicians, researchers, and policymakers to more clearly understand how great of a problem HF currently is and will continue to be unless preventive measures are broadly implemented."
Keywords: Incidence, Myocardial Infarction, Atherosclerosis, Body Mass Index, European Continental Ancestry Group, Heart Failure, Risk Factors, African Continental Ancestry Group, Hypertension, United States
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