PMID- 38374779
OWN - NLM
STAT- MEDLINE
DCOM- 20240318
LR  - 20240318
IS  - 1897-4279 (Electronic)
IS  - 0022-9032 (Linking)
VI  - 82
IP  - 2
DP  - 2024
TI  - Is the 2016 ESC diagnostic algorithm useful for assessing the prevalence of 
      chronic heart failure in population-based studies?
PG  - 175-182
LID - 10.33963/v.phj.98958 [doi]
AB  - BACKGROUND: Chronic heart failure (CHF) is a major healthcare problem. However, 
      there are no epidemiological studies assessing the prevalence of CHF in the 
      general population with diagnosis based on algorithms recommended for clinical 
      practice. AIM: The aim of the HF-Pomorskie survey was to assess the prevalence of 
      three basic components of the 2016 ESC diagnostic algorithm for CHF (symptoms, 
      N-terminal pro B-type natriuretic peptide [NT-proBNP], and abnormalities on 
      echocardiography) and to determine whether this algorithm may be applicable to 
      studies in general population samples. METHODS: The study was performed in a 
      representative sample of 313 adults (170 women and 143 men) aged between 20 and 
      90 years (mean 55.2 years [15.3]) in Northern Poland. A questionnaire to 
      determine New York Heart Association [NYHA] class, laboratory tests including 
      NT-proBNP, as well as transthoracic echocardiography and spirometry examinations 
      were performed in all subjects. RESULTS: Dyspnea (NYHA class II-IV) was reported 
      by 13.7% of recruited participants. Dyspnea and elevated levels of NT-proBNP 
      (>125 pg/ml) were found in 7.7% of all examined subjects, while dyspnea, elevated 
      NT-proBNP levels accompanied by systolic or diastolic abnormalities on 
      echocardiography occurred in 4.8%. In the group without dyspnea (86.3% of all 
      examined subjects), every sixth subject had an elevated level of NT-proBNP. On 
      the other hand, 5.8% of studied subjects reported a previous diagnosis of CHF, 
      which was confirmed using the current ESC algorithm in 78% of them. CONCLUSIONS: 
      The prevalence of CHF assessed by the 2016 ESC diagnostic algorithm in the 
      representative sample of adults was equal to 4.8%. The clinical algorithm for the 
      diagnosis of CHF is fully applicable to the representative surveys in the general 
      population. However, due to logistic and economic factors, echocardiography 
      examination and NT-proBNP determination can be limited to patients reporting 
      dyspnea or previous diagnosis of CHF.
FAU - Puch-Walczak, Aleksandra
AU  - Puch-Walczak A
AD  - Department of Preventive Medicine and Education, Medical University of Gdansk, 
      Gdansk, Poland. apw@gumed.edu.pl.
FAU - Kunicka, Katarzyna
AU  - Kunicka K
AD  - Department of Hypertension and Diabetology, Medical University of Gdansk, Gdansk, 
      Poland.
FAU - Jagiello, Kacper
AU  - Jagiello K
AD  - Department of Preventive Medicine and Education, Medical University of Gdansk, 
      Gdansk, Poland.
FAU - Puzio, Ewa
AU  - Puzio E
AD  - Department of Cardiac Diagnostics, Medical University of Gdansk, Gdansk, Poland.
FAU - Jankowska, Hanna
AU  - Jankowska H
AD  - Department of Cardiac Diagnostics, Medical University of Gdansk, Gdansk, Poland.
FAU - Hoffman, Piotr
AU  - Hoffman P
AD  - Department of Congenital Heart Diseases, National Institute of Cardiology, 
      Warszawa, Poland.
FAU - Dudziak, Maria
AU  - Dudziak M
AD  - Department of Cardiac Diagnostics, Medical University of Gdansk, Gdansk, Poland.
FAU - Kuziemski, Krzysztof
AU  - Kuziemski K
AD  - Department of Pulmonology, Medical University of Gdansk, Gdansk, Poland.
FAU - Drygas, Wojciech
AU  - Drygas W
AD  - Department of Social and Preventive Medicine, Medical University of Lodz, Lodz, 
      Poland.
AD  - Department of Epidemiology, Cardiovascular Disease Prevention and Health 
      Promotion, Institute of Cardiology, Warszawa, Poland.
FAU - Zdrojewski, Tomasz
AU  - Zdrojewski T
AD  - Department of Preventive Medicine and Education, Medical University of Gdansk, 
      Gdansk, Poland.
LA  - eng
PT  - Journal Article
DEP - 20240220
PL  - Poland
TA  - Kardiol Pol
JT  - Kardiologia polska
JID - 0376352
SB  - IM
MH  - Male
MH  - Adult
MH  - Humans
MH  - Female
MH  - Young Adult
MH  - Middle Aged
MH  - Aged
MH  - Aged, 80 and over
MH  - Prevalence
MH  - *Heart Failure/diagnosis/epidemiology
MH  - Chronic Disease
MH  - Algorithms
MH  - Dyspnea/diagnosis/epidemiology
OTO - NOTNLM
OT  - ESC guidelines
OT  - NT-proBNP
OT  - NYHA scale
OT  - epidemiology
OT  - heart failure
EDAT- 2024/02/20 11:50
MHDA- 2024/03/18 06:43
CRDT- 2024/02/20 03:23
PHST- 2024/01/16 00:00 [received]
PHST- 2024/01/16 00:00 [accepted]
PHST- 2024/03/18 06:43 [medline]
PHST- 2024/02/20 11:50 [pubmed]
PHST- 2024/02/20 03:23 [entrez]
AID - VM/OJS/J/98958 [pii]
AID - 10.33963/v.phj.98958 [doi]
PST - ppublish
SO  - Kardiol Pol. 2024;82(2):175-182. doi: 10.33963/v.phj.98958. Epub 2024 Feb 20.