Jump to:  A   |   B   |   C   |   D   |   E   |   F   |   G   |   H   |   I   |   J   |   K   |   L   |   M   |   N   |   O   |   P   |   Q   |   R   |   S   |   T   |   U   |   V   |   W   |   X   |   Y

U.S. Heart Failure Rates Are Rising, Especially for Black Adults

U.S. Heart Failure Rates Are Rising, Especially for Black Adults

MONDAY, May 6, 2019 (HealthDay News) -- Most people are terrified of having a heart attack, but they might also need to worry about heart failure, particularly if they are black.

After years of decline and despite treatment advances, the risk of dying early from heart failure-related causes started increasing after 2012, new research shows. Black men seem especially hard hit by this troubling new trend, the study authors noted.

"These findings are really important for two reasons. The overall rise from 2012 is a consequence we've seen from the rising obesity and diabetes epidemics," said senior study author Dr. Sadiya Khan. She's an assistant professor in the department of medicine and preventive medicine in the division of cardiology at Northwestern University Feinberg School of Medicine in Chicago.

"The second reason is the rise in premature deaths of people under 65, especially among black men. This heart failure trend is another manifestation of the undertreatment of hypertension [high blood pressure]," she said.

Heart failure occurs when the heart has trouble keeping up with the demands placed on it. A variety of conditions can weaken the heart and make it less able to do its job, but two major causes of heart failure are heart disease (plaque buildup in blood vessels) and high blood pressure, the American Heart Association (AHA) says.

According to Dr. Ileana Pina, an AHA spokesperson, "The heart is working very hard against 'pipes' that are tight, and the heart eventually can't take that pressure. The extra work sometimes causes the heart to thicken and dilate [or enlarge], and sometimes the heart just dilates."

Heart failure is a chronic and progressive disease, Khan said. It can cause death in a number of ways, but about half of heart failure deaths are from cardiovascular causes, such as the heart suddenly stopping, a heart attack or a stroke.

Approximately 6 million Americans suffer heart failure, the study authors noted.

The study tracked heart-failure related deaths from 1999 through 2017 in the United States.

In 1999, there were nearly 79 cardiovascular disease deaths from heart failure per 100,000 people. By 2012, that number was down to 54 deaths. In 2017, the number had jumped back up, and was 59 deaths from heart failure per every 100,000 people.

In 1999, black men had a 16% higher rate of deaths from heart failure compared to white men. By 2017, that rate was 43% higher. The rates in black women were 35% and 54% higher in the same time periods, respectively.

The differences were more significant in younger black people (35 to 64 years). When the researchers controlled the data based on age, they found that black people had a nearly tripled higher risk of dying due to heart failure.

Khan said prevention is crucial.

"Once heart failure develops, mortality is still 50% at five years," she said.

The most important step in prevention is controlling blood pressure. "Know your blood pressure and make sure it's being well managed and well-treated," she said.

Khan added that maintaining a healthy weight, getting screened for diabetes and quitting smoking are also important factors in preventing heart failure.

Pina said she wasn't surprised by the findings, and she agreed with Khan that patients need to get their blood pressure checked and treated if it's high.

"Hypertension is still a problem, in spite of the fact that we have wonderful drugs that work and are cheap. But patients don't feel hypertension. That's why it's called the silent killer," Pina said.

The findings were published May 6 in the Journal of the American College of Cardiology.

More information

Learn more about heart failure from the American Heart Association.

SOURCES: Sadiya Khan, M.D, M.Sc., assistant professor, department of medicine and preventive medicine, division of cardiology, Northwestern University Feinberg School of Medicine, Chicago; Ileana Pina, M.D., American Heart Association spokesperson; professor, medicine, Wayne State University; regional and national director of heart failure, Detroit Medical Center Heart Hospital; May 6, 2019, Journal of the American College of Cardiology

Reviewed Date: --

Find a pediatrician
Cardiology
Dr. Rose Cummings
Dr. Alexander Ellis
Dr. Robert Escalera II
Dr. Jonathan Fleenor
Dr. Lopa Hartke
Dr. John Reed
Dr. Elliot Tucker
Dr. Michael Vance
Children's Cardiac Surgery
Dr. James Gangemi
Dr. Philip Smith
Neurology
Dr. Sarah Chagnon
Dr. Thomas Enlow
Dr. L. Matthew Frank
Dr. Ralph Northam
Dr. Crystal Proud
Dr. Svinder Toor
Dr. Ryan Williams
Health Tips
A Chubby Baby Is Not a Sign of Future Obesity
High Blood Pressure: Kids Can Have It, Too
Quizzes
Heart Health Quiz
Heart Quiz for Women Only
Prevention
Prevention Guidelines for Men 18 to 39
Prevention Guidelines for Women 18 to 39
Prevention Guidelines for Women 40-49
Prevention Guidelines for Women 50-64
Prevention Guidelines for Women 65+
Prevention Guidelines, Ages 2 to 18
NewsLetters
Breastfeeding May Lower Women’s Postmenopausal Stroke Risk
Colorectal Cancer Before Age 50: A Weighty Reason Rates Are Rising
Early Obesity Can Change Heart Structure
Eat This, Not That to Manage Your Chronic Disease
It’s Personal: New Guidelines Recommend Customizing Cholesterol Treatment Plans
Should You Take a Daily Aspirin to Protect Your Heart?
Strategies for Heading Off Heart Attacks
Weight-Loss Surgery Is a Helpful Tool, Not the Whole Toolbox
When a Chronic Disease Runs in Your Family
When the Weather Heats Up, Stay Cool for Your Heart
Diseases & Conditions
Anomalous Coronary Artery in Children
Anticipatory Grief
Chronic Hypertension and Pregnancy
Heart Failure in Children
High Blood Pressure in Children and Teens
Home Page - Cardiovascular Disorders
Obesity in Teens
Pregnancy and Medical Conditions
Pregnancy and Pre-existing Heart Disease

Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.