PMID- 32635219 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 9 IP - 7 DP - 2020 Jul 3 TI - Estimated Population Prevalence of Heart Failure with Reduced Ejection Fraction in Spain, According to DAPA-HF Study Criteria. LID - 10.3390/jcm9072089 [doi] LID - 2089 AB - Heart failure (HF) is one of the main causes of morbidity, mortality, and high healthcare costs. Dapagliflozin, a sodium-glucose cotransporter-2 (SGLT2) inhibitor, reduced cardiovascular mortality and hospitalization for HF compared to placebo in patients with chronic HF, and reduced ejection fraction (EF) in the Dapagliflozin and Prevention of Adverse Outcomes in Heart Failure (DAPA-HF) study. Our aim was to estimate the number of patients with DAPA-HF characteristics in Spain. Our literature review identified epidemiological studies whose objective was to quantify the prevalence of HF and its comorbidities in Spain. We estimated the prevalence of HF with reduced EF, of New York Heart Association (NYHA) functional class II-IV, and with a glomerular filtration rate (GFR) >/= 30 mL/min/1.73 m(2). In this population, we analysed the prevalence of diabetes using data from the REDINSCOR (Spanish Network for Heart Failure) registry. Our estimations indicate there are 594,684 patients >/=45 years old with HF in Spain (2.6% of this population age group), of which 52.4%, 84.0%, and 93.9% have reduced EF, are NYHA II-IV, and have a GFR >/= 30 mL/min/1.73 m(2), respectively. By our calculations, approximately 245,789 Spanish patients would meet the DAPA-HF patient profile, and therefore could benefit from the protective cardiovascular effects of dapagliflozin. FAU - Camps-Vilaro, Anna AU - Camps-Vilaro A AUID- ORCID: 0000-0001-9644-8421 AD - REGICOR Study Group, IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain. AD - CIBER of Cardiovascular Diseases (CIBERCV), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain. FAU - Delgado-Jimenez, Juan F AU - Delgado-Jimenez JF AUID- ORCID: 0000-0002-5401-8324 AD - CIBER of Cardiovascular Diseases (CIBERCV), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain. AD - Department of Cardiology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain. AD - Faculty of Medicine, Complutense University of Madrid (UCM), 28040 Madrid, Spain. FAU - Farre, Nuria AU - Farre N AUID- ORCID: 0000-0003-3110-6572 AD - Department of Cardiology, Hospital del Mar, 08003 Barcelona, Spain. AD - Heart Diseases Biomedical Research Group (GREC), IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain. AD - Faculty of Medicine, Universitat Autonoma de Barcelona (UAB), 08193 Barcelona, Spain. FAU - Tizon-Marcos, Helena AU - Tizon-Marcos H AD - Department of Cardiology, Hospital del Mar, 08003 Barcelona, Spain. AD - Heart Diseases Biomedical Research Group (GREC), IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain. FAU - Alvarez-Garcia, Jesus AU - Alvarez-Garcia J AUID- ORCID: 0000-0002-2015-6446 AD - CIBER of Cardiovascular Diseases (CIBERCV), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain. AD - Faculty of Medicine, Universitat Autonoma de Barcelona (UAB), 08193 Barcelona, Spain. AD - Department of Cardiology, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain. FAU - Cinca, Juan AU - Cinca J AD - CIBER of Cardiovascular Diseases (CIBERCV), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain. AD - Faculty of Medicine, Universitat Autonoma de Barcelona (UAB), 08193 Barcelona, Spain. AD - Department of Cardiology, Hospital de la Santa Creu i Sant Pau, 08041 Barcelona, Spain. FAU - Degano, Irene R AU - Degano IR AD - REGICOR Study Group, IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain. AD - CIBER of Cardiovascular Diseases (CIBERCV), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain. AD - Faculty of Medicine, University of Vic-Central University of Catalonia (UVic-UCC), 08500 Vic, Spain. FAU - Marrugat, Jaume AU - Marrugat J AUID- ORCID: 0000-0003-3320-554X AD - REGICOR Study Group, IMIM (Hospital del Mar Medical Research Institute), 08003 Barcelona, Spain. AD - CIBER of Cardiovascular Diseases (CIBERCV), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, Spain. LA - eng GR - CIBERCV CB16/11/00229/Spain's Ministry of Science and Innovation (Madrid, Spain), co-financed with European Union European Regional Development Funds -ERDF-/ GR - 2017SGR222/Health Department of the Generalitat de Catalunya (Barcelona, Spain) through the Agencia de Gestio d'Ajuts Universitaris de Recerca de Catalunya (AGAUR) (Barcelona, Spain)/ GR - SLT006/17/00029 to IRD/Strategic Plan for research and health innovation (PERIS) (Barcelona, Spain)/ GR - to J.A.-G./Private Foundation Daniel Bravo Andreu (Barcelona, Spain)/ GR - -/CIBER of Cardiovascular Diseases (CIBERCV) is an initiative of the Instituto de Salud Carlos III (Madrid, Spain)/ PT - Journal Article DEP - 20200703 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC7408645 OTO - NOTNLM OT - cardiovascular disease OT - cardiovascular therapy OT - dapagliflozin OT - epidemiology OT - heart failure OT - prevalence OT - reduced ejection fraction OT - sodium-glucose cotransporter-2 inhibitor COIS- J.F.D.-J. reports consultancy fees from AstraZeneca; N.F. reports grants and consultancy fees from Novartis, Bayer, Rovi, and AstraZeneca; J.A.-G. reports consultancy fees from AstraZeneca, Boehringer Ingelheim, and Lilly; J.M. reports grants and consultancy fees from AstraZeneca, Sanofi, Shire, Gilead, Daichii-Sankyo, Genincode, and Ferrer. The other authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, and interpretation of data; in the writing of the manuscript; and in the decision to publish the results. EDAT- 2020/07/09 06:00 MHDA- 2020/07/09 06:01 PMCR- 2020/07/03 CRDT- 2020/07/09 06:00 PHST- 2020/06/09 00:00 [received] PHST- 2020/06/29 00:00 [revised] PHST- 2020/06/30 00:00 [accepted] PHST- 2020/07/09 06:00 [entrez] PHST- 2020/07/09 06:00 [pubmed] PHST- 2020/07/09 06:01 [medline] PHST- 2020/07/03 00:00 [pmc-release] AID - jcm9072089 [pii] AID - jcm-09-02089 [pii] AID - 10.3390/jcm9072089 [doi] PST - epublish SO - J Clin Med. 2020 Jul 3;9(7):2089. doi: 10.3390/jcm9072089.