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Global, Regional, and National Burden of Heart Failure, 1990-2023

GBD 2023 Heart Failure CollaboratorsCatherine O. JohnsonInstitute for Health Metrics and EvaluationMadineh AbbasiInfectious and Tropical Research Center, Tabriz University of Medical Sciences, Tabriz, IranMitra AbbasifardClinical Research Development Unit, Rafsanjan University of Medical Sciences, Rafsanjan, IranHedayat AbbastabarAdvanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, IranSamar Abd ElHafeezDepartment of Epidemiology, Alexandria University, Alexandria, EgyptNadin M. Abdel RazeqSchool of Nursing, The University of Jordan, Amman, JordanAhmed Abdelrahman AbdelgalilCollege of Pharmacy, King Saud University, Riyadh, Saudi ArabiaAli AbdolizadehSchool of Medicine, St George’s University, St George’s, GrenadaMeriem AbdounDepartment of Health, University of Sétif Algeria, Sétif, AlgeriaMostafa AbdrabouDepartment of Cardiovascular Medicine, Cairo University, Cairo, EgyptAuwal AbdullahiDepartment of Physiotherapy, Federal University Wukari, Wukari, NigeriaTesfaye Birhanu AbebeAsrat Agalu AbejewSchool of Pharmacy, Bahir Dar University, Bahir Dar, EthiopiaOlifan Zewdie AbilDepartment of Immunology, Tulane University, Covington, LouisianaOlumide AbiodunDepartment of Community Medicine, Babcock University, Ilishan-Remo, NigeriaRichard Gyan AboagyeSchool of Population Health, University of New South Wales, Sydney, New South Wales, AustraliaShady AbohashemDepartment of Radiology, Harvard University, Boston, MassachusettsMostafa A. AbooufInstitute of Physiology, University of Zürich, Zürich, SwitzerlandMoaz Elsayed AbouelmagdKasr-alainy Faculty of Medicine, Cairo University, Cairo, EgyptMohamed AbouzidDepartment of Physical Pharmacy and Pharmacokinetics, Poznan University of Medical Sciences, Poznan, PolandDmitry AbramovLoma Linda UniversityDariush AbtahiDepartment of Anesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, IranFuad Hamdi AbuadasCommunity Health Nursing Department, Jouf University, Sakaka, Saudi ArabiaEman Abu-GharbiehDepartment of Biopharmaceutics and Clinical Pharmacy, University of Jordan, Amman, JordanAhmad Y. AbuhelwaDepartment Pharmacy Practice and Pharmacotherapeutics, University of Sharjah, Sharjah, United Arab EmiratesDina AbushanabOffice of Vice President for Medical and Health Sciences, Qatar University, Doha, QatarLisa C. AdamsDepartment of Diagnostic and Interventional Radiology, Technical University of Munich, Munich, GermanyIsaac Yeboah AddoSchool of Medicine, University of Sydney, Sydney, New South Wales, AustraliaKA AdedokunDepartment of Immunology, Roswell Park Comprehensive Cancer Center, Buffalo, New YorkOluwatobi E AdegbileCenter for Cardiovascular Risk Research, East Tennessee State University, Johnson CityNurudeen A. AdegokeTranslational Research Collective, The University of Sydney, Sydney, New South Wales, AustraliaOlumide Thomas AdelekeDepartment of Family Medicine, Bowen University Teaching Hospital, Ogbomoso, NigeriaMakinde Adebayo AdeniyiDepartment of Community Medicine and Primary Care, Federal Medical Center Abeokuta, Abeokuta, NigeriaMiracle Ayomikun AdesinaDepartment of Physiotherapy, University of Ibadan, Ibadan, NigeriaRidwan Olamilekan AdesolaDepartment of Veterinary Medicine and Surgery, University of Missouri, ColumbiaKishor AdhikariDepartment of Community Medicine, Tribhuvan University, Bharatpur, NepalMolalign Aligaz AdisuCollege of Health Science, Woldia University, Woldia, EthiopiaPrince Owusu AdomaDepartment of Health Administration and Education, University of Education Winneba, Winneba, GhanaClifford AfoakwahAustralian Centre for Health Services Innovation, Queensland University of Technology, Kelvin Grove, Queensland, AustraliaEbenezer Afrifa-YamoahSchool of Science, Edith Cowan University, Perth, Western Australia, AustraliaMuhammad Sohail AfzalDepartment of Life Sciences, University of Management and Technology, Lahore, PakistanMohammad AghaaliDepartment of Epidemiology and Biostatistics, Qom University of Medical Sciences, Qom, IranFeleke Doyore AgideDepartment of Public Health, Wachemo University, Hosaena, EthiopiaPercival Delali AgordohDepartment of Nutrition and Dietetics, University of Health and Allied Sciences, Ho, GhanaCésar Agostinis SobrinhoHealth Research and Innovation Sciences Center, Polytechnic Institute of Guarda, Guarda, PortugalPiyush AgrawalDivision of Medical Research, SRM Institute of Science and Technology, Kattankulathur, IndiaWilliams Agyemang‐DuahDepartment of Public Health Sciences, Queen’s University, Kingston, Ontario, CanadaDanish AhmadSchool of Medicine and Psychology, Australian National University, Canberra ACT, AustraliaMuayyad AhmadSchool of Nursing, University of Jordan, Amman, JordanSaheem AhmadDepartment of General Surgery, School of Surgery Wales, Swansea, United KingdomSajjad AhmadLebanese American UniversitySuhaib AhmadDepartment of General Surgery, School of Surgery Wales, Swansea, United KingdomWaqas AhmadCollege of Medicine, University of Cincinnati, Cincinnati, OhioAli AhmadiDepartment of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, IranSepideh AhmadiShahid Beheshti University of Medical SciencesSarina AhmadianDivision of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, Rochester, MinnesotaKoohyar AhmadzadehInstitute of Life Course and Medical Sciences, University of Liverpool, Liverpool, United KingdomAyman AhmedInstitute of Endemic Diseases, University of Khartoum, Khartoum, SudanGasha Salih AhmedMedical Laboratory Science Department, University of Human Development, Sulaymaniyah, IraqMuktar Beshir AhmedDepartment of Medicine, Rawalpindi Medical University, Rawalpindi, PakistanMushood AhmedCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, AustraliaShahzaib AhmedBrody School of Medicine, East Carolina University, Greenville, North CarolinaSyed Anees AhmedBrody School of Medicine, East Carolina University, Greenville, North CarolinaMarjan AjamiNational Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, IranAanuoluwatimileyin Ibukunoluwa AjayiJohns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MarylandRoland Eghoghosoa AkhigbeMuhammad Nadeem AkhtarUniversity Institute of Diet and Nutritional Sciences, The University of Lahore, Lahore, PakistanSalah Al AwaidyDepartment of Communicable Diseases, Ministry of Health, Muscat, OmanTariq Al BahhawiFamily and Community Medicine Department, Jazan University, Jazan, Saudi ArabiaSyed Mahfuz Al HasanDivision of Public Health Sciences, Washington University in St Louis, St Louis, MissouriMohammad Khaled Al NawaysehCollege of Engineering and Information Technology, Ajman University, Ajman, United Arab EmiratesYazan Al ThaherFaculty of Pharmacy, Philadelphia University, Amman, JordanOmar Ali Mohammed Al ZaabiDepartment of Adult Health and Critical Care, Sultan Qaboos University, Muscat, OmanM S Al ZoubiFares AlahdabMohammad M. Al-AhmadClinical Pharmacy Department, Al Ain University, Al Ain, United Arab EmiratesSamer O AlalalmehDepartment of Clinical Sciences, Ajman University, Ajman, United Arab EmiratesMohammad Khursheed AlamPreventive Dentistry Department, Jouf University, Sakaka, Saudi ArabiaRabail AlamResearch and Scientific Centre, Sultan Bin AbdulAziz Humanitarian city, Riyadh, Saudi ArabiaFahad AlaneziImam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaTurki AlanziDepartment of Health Information Management and Technology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaFahmi Y. Al-AshwalDepartment of Clinical Pharmacy and Pharmacy Practice, University of Science and Technology, Sana’a, YemenRashid AlaviDepartment of Medical Engineering, California Institute of Technology, PasadenaMohammed Sa’d ALBashtawyDepartment of Community and Mental Health, Al al-Bayt University, Mafraq, JordanBelal AldabbourFaculty of Medicine, Islamic University of Gaza, Gaza, PalestineAstefanos Al-DalaktaInternal Medicine Department, Cleveland Clinic, Cleveland, OhioKhalifah A AldawsariDivision of Pediatric Cardiology, University of Colorado, AuroraNader Al-DewikTranslational and Precision Medicine Research, Hamad Medical Corporation, Doha, QatarShereen M. AleidiCollege of Pharmacy, University of Sharjah, Sharjah, United Arab EmiratesAli M. AlfalkiDepartment of Epidemiology and Biostatistics, University of South Carolina, ColumbiaAbdelazeem AlgammalDepartment of Bacteriology, Immunology, and Mycology, Suez Canal University, Ismailia, EgyptMohammed AlgethamiDepartment of Family and Community Medicine, University of Jeddah, Jeddah, Saudi ArabiaKhalid AlhabibDepartment of Cardiac Sciences, King Saud University, Riyadh, Saudi ArabiaFadwa Naji AlhalaiqaCollege of Nursing, Qatar University, Doha, QatarFahad A. AlhumaydhiDepartment of Medical Laboratories, Qassim University, Buraydah, Saudi ArabiaIrfan AliDepartment of Statistics and Operations Research, Aligarh Muslim University, Aligarh, IndiaMohammad Daud AliDepartment of Medical Rehabilitation (Physiotherapy), University of Maiduguri, Maiduguri, NigeriaMohammed Usman AliDepartment of Medical Rehabilitation (Physiotherapy), University of Maiduguri, Maiduguri, NigeriaRafat AliDepartment of Biosciences, Jamia Millia Islamia, New Delhi, India
2026en
ABI

Annotatsiya

Importance: Heart failure (HF) is a common condition with substantial geographical variation in its prevalence and underlying etiologies. Consistent and comparable data on the burden of HF within populations are needed to inform health system priorities. Objective: To estimate the global burden of HF. Design, Setting, and Participants: This cross-sectional study estimates disease burden using Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) methodologies to integrate multiple information sources. Data come from 204 countries and territories from 1990 to 2023 representing the global population with prevalent HF. Exposure: HF and underlying etiologies. Main Outcomes and Measures: Estimates with 95% uncertainty intervals (UIs) for the prevalence and years lived with disability (YLDs) for HF by age, sex, location, year, and underlying etiology. Results: Globally, there were 56.0 million (95% UI, 49.9-62.2 million) estimated cases of HF in 2023. The estimated prevalence of HF generally increased with age for all locations. While ischemic heart disease and hypertensive heart disease were the 2 most common etiologies globally among older adults, there was substantial variation in etiological pattern by location and age. Congenital heart anomalies and rheumatic heart disease (RHD) were common etiologies in children and young adults, while the proportion of HF due to alcohol use peaked in middle adulthood. Location-specific estimates highlighted regions with higher burden of HF due to specific etiologies, including RHD (south Asia, east Asia, Oceania, southeast Asia, central sub-Saharan Africa, eastern sub-Saharan Africa, southern sub-Saharan Africa, and western sub-Saharan Africa), alcohol use (eastern Europe, Australasia, the Caribbean, and central Europe), and Chagas disease (southern, Andean, tropical, and central Latin America). Conclusions and Relevance: Heart failure is a significant global public health burden, and the impact is likely to increase as populations age. However, most HF etiologies can be prevented by interventions that reduce exposure to modifiable risk factors, such as elevated blood pressure, excessive alcohol consumption, and tobacco use. Etiology- and location-specific estimates can provide necessary information for public health officials to determine how best to prioritize interventions to reduce HF disease burden.

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