Mortality from heart failure in an English population, 1979-2003: study of death certification.

OBJECTIVE: It is widely held that there will be an epidemic of heart failure in Europe and North America as a result of increased survival from myocardial infarction and other coronary heart disease. The study objective was to discover if the decline in mortality from coronary heart disease has bee...

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Main Authors: Goldacre, M, Mant, D, Duncan, M, Griffith, M
Format: Journal article
Language:English
Published: 2005
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author Goldacre, M
Mant, D
Duncan, M
Griffith, M
author_facet Goldacre, M
Mant, D
Duncan, M
Griffith, M
author_sort Goldacre, M
collection OXFORD
description OBJECTIVE: It is widely held that there will be an epidemic of heart failure in Europe and North America as a result of increased survival from myocardial infarction and other coronary heart disease. The study objective was to discover if the decline in mortality from coronary heart disease has been accompanied by a rise in mortality from heart failure in the study population. DESIGN: Analysis of database of mortality records including all certified causes of death, not just the underlying cause, from 1979-2003. SETTING: Former Oxford NHS Region, England. PATIENTS: Data from death certificates of all who died in the population covered. MAIN RESULTS: Mortality rates for heart failure fell at very similar rates as those from coronary heart disease. In men, the average annual fall in mortality from coronary heart disease was -2.7% (95% confidence intervals -2.8 to -2.5) and that from heart failure was -2.9% (-3.2 to -2.5). In women, the average annual fall in mortality from coronary heart disease was -2.3% (-2.6 to -2.1) and that from heart failure was -2.6% (-3.0 to -2.3). CONCLUSIONS: The decline in mortality from coronary heart disease has not been accompanied by a rise in mortality from heart failure. A future epidemic of heart failure, as a consequence of the decline in mortality from coronary heart disease, seems unlikely.
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spelling oxford-uuid:65de5fdd-d806-4cf9-bb90-716a752af14f2022-03-26T18:28:14ZMortality from heart failure in an English population, 1979-2003: study of death certification.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:65de5fdd-d806-4cf9-bb90-716a752af14fEnglishSymplectic Elements at Oxford2005Goldacre, MMant, DDuncan, MGriffith, M OBJECTIVE: It is widely held that there will be an epidemic of heart failure in Europe and North America as a result of increased survival from myocardial infarction and other coronary heart disease. The study objective was to discover if the decline in mortality from coronary heart disease has been accompanied by a rise in mortality from heart failure in the study population. DESIGN: Analysis of database of mortality records including all certified causes of death, not just the underlying cause, from 1979-2003. SETTING: Former Oxford NHS Region, England. PATIENTS: Data from death certificates of all who died in the population covered. MAIN RESULTS: Mortality rates for heart failure fell at very similar rates as those from coronary heart disease. In men, the average annual fall in mortality from coronary heart disease was -2.7% (95% confidence intervals -2.8 to -2.5) and that from heart failure was -2.9% (-3.2 to -2.5). In women, the average annual fall in mortality from coronary heart disease was -2.3% (-2.6 to -2.1) and that from heart failure was -2.6% (-3.0 to -2.3). CONCLUSIONS: The decline in mortality from coronary heart disease has not been accompanied by a rise in mortality from heart failure. A future epidemic of heart failure, as a consequence of the decline in mortality from coronary heart disease, seems unlikely.
spellingShingle Goldacre, M
Mant, D
Duncan, M
Griffith, M
Mortality from heart failure in an English population, 1979-2003: study of death certification.
title Mortality from heart failure in an English population, 1979-2003: study of death certification.
title_full Mortality from heart failure in an English population, 1979-2003: study of death certification.
title_fullStr Mortality from heart failure in an English population, 1979-2003: study of death certification.
title_full_unstemmed Mortality from heart failure in an English population, 1979-2003: study of death certification.
title_short Mortality from heart failure in an English population, 1979-2003: study of death certification.
title_sort mortality from heart failure in an english population 1979 2003 study of death certification
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