The risk of congestive heart failure: Sobering lessons from the Framingham heart study

被引：52

作者：

Lloyd-Jones D.M. ^{[1
]}

机构：

[1] Cardiology Division, Massachusetts General Hospital, Boston, MA 02114

来源：

Current Cardiology Reports | 2001年 / 3卷 / 3期

关键词：

Congestive Heart Failure; Leave Ventricular Hypertrophy; Lifetime Risk; Valvular Heart Disease; Framingham Heart Study;

D O I：

10.1007/s11886-001-0021-1

中图分类号：

学科分类号：

摘要：

This review highlights recent contributions of the Framingham Heart Study to our understanding of the epidemiology of congestive heart failure (CHF). Given its uniform criteria for the diagnosis of CHF and its long duration of follow-up, the Framingham study has had a unique perspective on the short- and long-term risk of developing CHF, its predisposing risk factors, and its prognosis in a general, communitybased population. Some recent studies from Framingham have provided important insights on CHF: the lifetime risk is estimated to be 20% for men and women; hypertension is the most important modifiable risk factor, with a population- attributable risk of CHF of 59% for women and 39% for men; a clinical prediction rule for development of CHF has recently been published; and the prognosis after development of CHF is grim, with a median survival of 1.7 years in men and 3.2 years in women. © 2001 by Current Science Inc.

引用

页码：184 / 190

页数：6

共 20 条

[1]

Braunwald E., Shattuck Lecture: Cardiovascular medicine at the turn of the millennium: Triumphs, concerns, and opportunities, N Engl J Med, 337, pp. 1360-1369, (1997)

[2]

2001 Heart and Stroke Statistical Update, (2000)

[3]

Goldberg R.J., Konstam M.A., Assessing the population burden from heart failure: Need for sentinel population-based surveillance systems, Arch Intern Med, 159, pp. 15-17, (1999)

[4]

McKee P.A., Castelli W.P., McNamara P.M., Kannel W.B., The natural history of congestive heart failure: The Framingham study, N Engl J Med, 285, pp. 1441-1446, (1971)

[5]

Senni M., Triboiuilloy C.M., Rodeheffer R.J., Et al., Congestive heart failure in the community: A study of all incident cases in Olmsted County, Minnesota, in 1991, Circulation, 98, pp. 2282-2289, (1998)

[6]

Senni M., Triboiuilloy C.M., Rodeheffer R.J., Et al., Congestive heart failure in the community: Trends in incidence and survival in a 10-year period, Arch Intern Med, 159, pp. 29-34, (1999)

[7]

Remes J., Reunanen A., Aromaa A., Pyorala K., Incidence of heart failure in eastern Finland: A population-based surveillance study, Eur Heart J, 13, pp. 588-593, (1992)

[8]

Ho K.K.L., Pinsky J.L., Levy D., The epidemiology of heart failure: The Framingham Study, J Am Coll Cardiol, 22, SUPPL. A, (1993)

[9]

Kannel W.B., Epidemiological aspects of heart failure, Cardiol Clin, 7, pp. 1-9, (1989)

[10]

Lloyd-Jones D.M., Larson M.G., Beiser A., Et al., Lifetime risk of developing congestive heart failure [abstract], Circulation, 100, 1 SUPPL., (1999)

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