A community based epidemiological and clinical study of hospitalization of patients with congestive heart failure in Northern Iwate, Japan.
BACKGROUND
Community based studies of congestive heart failure (HF) are lacking in the Japanese population.


RESULTS
To delineate the epidemiological and clinical features of advanced HF in the general Japanese population, hospitalized adult cases of HF in all hospitals within the Ninohe district were registered for 3 years. During the survey period, 190 new onset cases (males n=93; females n=97) and a total of 391 hospitalizations (including repeat admissions) were registered. The prevalence of atrial fibrillation in new HF cases was 56% in males and 45% in females. On the basis of the population of the district, the incidence of hospitalized HF was 96 in males and 92 in females per 100,000 person-years. The percentage of HF patients who were > or =65 years of age was 82% in males and 94% in females. In cases undergoing echocardiography, preserved left ventricular systolic function (left ventricular ejection fraction > or =50%) was observed in 29% of males and 41% of females. There was a significant seasonal variation in HF admissions (Spring 32%; Summer 20%; Autumn 20%; Winter 28%; p<0.01).


CONCLUSIONS
In comparison with published results of USA and European community based studies of HF, the present HF cohort showed that: (1) mean age, prevalence of preserved ejection fraction, and trends in seasonal variation were comparable; however (2) the incidence of HF was obviously lower. These epidemiological and clinical characteristics should be taken into consideration when establishing a therapeutic and preventive approach for HF.
Ogawa
Muneyoshi
M
Second Department of Internal Medicine, Iwate Medical University.
Tanaka
Fumitaka
F
Onoda
Toshiyuki
T
Ohsawa
Masaki
M
Itai
Kazuyoshi
K
Sakai
Toshiaki
T
Okayama
Akira
A
Nakamura
Motoyuki
M
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001281:Atrial Fibrillation / Q000453:epidemiology / Q000503:physiopathology; D015331:Cohort Studies; D005260:Female; D006306:Health Surveys; D006333:Heart Failure / Q000453:epidemiology* / Q000503:physiopathology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010359:Patient Readmission; D015995:Prevalence; D012424:Rural Population / Q000706:statistics & numerical data; D012621:Seasons; D018487:Ventricular Dysfunction, Left / Q000453:epidemiology / Q000503:physiopathology