European Society of Cardiology Heart Failure Long-Term Registry (ESC-HF-LT): 1-year follow-up outcomes and differences across regions.
The European Society of Cardiology Heart Failure Long-Term Registry (ESC-HF-LT-R) was set up with the aim of describing the clinical epidemiology and the 1-year outcomes of patients with heart failure (HF) with the added intention of comparing differences between participating countries.



The ESC-HF-LT-R is a prospective, observational registry contributed to by 211 cardiology centres in 21 European and/or Mediterranean countries, all being member countries of the ESC. Between May 2011 and April 2013 it collected data on 12 440 patients, 40.5% of them hospitalized with acute HF (AHF) and 59.5% outpatients with chronic HF (CHF). The all-cause 1-year mortality rate was 23.6% for AHF and 6.4% for CHF. The combined endpoint of mortality or HF hospitalization within 1 year had a rate of 36% for AHF and 14.5% for CHF. All-cause mortality rates in the different regions ranged from 21.6% to 36.5% in patients with AHF, and from 6.9% to 15.6% in those with CHF. These differences in mortality between regions are thought reflect differences in the characteristics and/or management of these patients.



The ESC-HF-LT-R shows that 1-year all-cause mortality of patients with AHF is still high while the mortality of CHF is lower. This registry provides the opportunity to evaluate the management and outcomes of patients with HF and identify areas for improvement.
Unidad de Insuficiencia Cardiaca Avanzada y Trasplante Cardiaco, Complexo Hospitalario Universitario A Coruna, CHUAC, La Coruna, Spain.
Maria G
MG
Crespo-Leiro
Innovative Clinical Trials, Department of Cardiology and Pneumology, University Medical Center Göttingen (UMG), Göttingen, Germany.
Stefan D
SD
Anker
EURObservational Research Programme, European Society of Cardiology, Sophia-Antipolis, France.|ANMCO Research Centre, Florence, Italy.
Aldo P
AP
Maggioni
Monash University, Australia and University of Warwick, Coventry, UK.
Andrew J
AJ
Coats
Athens University Hospital Attikon, Athens, Greece.
Gerasimos
G
Filippatos
Department of Cardiology, Heart Failure Clinic and Transplantation, University Heart Centre Zurich, Zurich, Switzerland.
Frank
F
Ruschitzka
Department of Cardiology and LTTA Centre, University Hospital of Ferrara and Maria Cecilia Hospital, GVM Care and Research, ES Health Science Foundation, Cotignola, Italy.
Roberto
R
Ferrari
Heart Failure Unit, Cardiac Department, Guglielmo da Saliceto Hospital, AUSL Piacenza, Italy.
Massimo Francesco
MF
Piepoli
Cardiology Department, University Hospital 12 de Octubre, Madrid, Spain.
Juan F
JF
Delgado Jimenez
Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Marco
M
Metra
Heart Failure Unit, S Francisco Xavier Hospital/CHLO NOVA Medical School, Faculdade de Ciências Medicas, Universidade Nova de Lisboa, Portugal.
Candida
C
Fonseca
3rd Department of Medicine, Faculty General Hospital, Charles University, Prague, Czech Republic.
Jaromir
J
Hradec
Poriya Medical Centre and Faculty of Medicine Bar Ilan University, Israel.
Offer
O
Amir
Assistance Publique Hôpitaux Paris, Hôpital Lariboisière, Université Paris Diderot, Inserm 942, Paris, France.
Damien
D
Logeart
Department of Cardiology and Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Ulf
U
Dahlström
Semmelweis University, Heart Centre, Budapest, Hungary.
Bela
B
Merkely
Department of Cardiology, Medical University of Lodz, Lodz, Poland.
Jaroslaw
J
Drozdz
Department of Heart Failure/Transplantation, National Cardiovascular Institute, Bratislava, Slovakia.
Eva
E
Goncalvesova
Alexandria University, Alexandria, Egypt.
Mahmoud
M
Hassanein
Institutul De Urgente Boli Cardiovasculare CC Iliescu, Universitatea de Medicina Carol Davila, Bucuresti, Romania.
Ovidiu
O
Chioncel
Department of Cardiology, General Hospital Celje, Celje, Slovenia.
Mitja
M
Lainscak
University of Belgrade, School of Medicine, Department of Cardiology, Clinical Centre of Serbia.
Petar M
PM
Seferovic
1st Cardiology Department, Athens University Medical School, Athens, Greece.
Dimitris
D
Tousoulis
Department of Cardiology, Lithuanian University of Health Sciences, Kaunas, Lithuania.
Ausra
A
Kavoliuniene
Department of Cardiology, Medical University, Graz, Austria.
Friedrich
F
Fruhwald
Department of Internal Medicine, Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Emir
E
Fazlibegovic
Turkey Yüksek Ihtisas Hospital, Cardiology Clinic, Ankara, Turkey.
Ahmet
A
Temizhan
University Hospital Lozenets, Sofia, Bulgaria.
Plamen
P
Gatzov
Pauls Stradins Clinical University Hospital, Riga, Latvia.
Andrejs
A
Erglis
EURObservational Research Programme, European Society of Cardiology, Sophia-Antipolis, France.
Cécile
C
Laroche
Hôpital Lariboisière, Université Paris Diderot, Inserm 942, Paris, France.
Alexandre
A
Mebazaa
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D002309:Cardiology; D002423:Cause of Death; D002908:Chronic Disease; D015897:Comorbidity; D005060:Europe / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000097:blood / Q000453:epidemiology / Q000503:physiopathology*; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009026:Mortality; D011446:Prospective Studies; D012042:Registries; D012955:Societies, Medical
Acute; Chronic; Heart failure; Outcomes; Registry; Survival