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이달의 kcj Hot Article / 2024년 10월 Regional Differences in the Epidemiology of Heart Failure
저자	Jasper Tromp, MD, PhD, MPH,^1,2,3 and Tiew-Hwa Katherine Teng, MPH, PhD^3,4
소속	¹Saw Swee Hock School of Public Health, National University of Singapore, Singapore. ²Duke-NUS Medical School, Singapore. ³National Heart Centre Singapore, Singapore. ⁴School of Allied Health, University of Western Australia, Crawley, WA, Australia.
Heart failure (HF) epidemiology, patient characteristics, and clinical outcomes exhibit substantial regional variations, reflecting diverse etiologies and health system capacities. This review comprehensively analyses these variations, drawing on data from recent global registries and clinical trials. Our review indicates that ischemic and hypertensive heart diseases are prevalent globally but differ in dominance depending on the region. Notably, regions such as Africa and Latin America show higher instances of HF from hypertensive heart disease and Chagas cardiomyopathy, respectively. Moreover, disparities in age and comorbidity profiles across regions highlight younger populations with HF in lower-income countries compared to older populations in high-income regions. This review also highlights the global disparity in guideline-directed medical and device therapy, underscoring significant underuse in lower-income regions. These insights emphasize the need for targeted HF management strategies considering regional clinical and demographic characteristics to enhance global HF care and outcomes.
첨부파일1	kcj-54-591-g001-l.jpg (다운 17회)