Heart failure: target women
According to experts, only in developed European countries, about 28 million people suffer from heart failure. Every fourth heart failure patient in Russia is under 60 years old. The survival rate of patients with heart failure is significantly lower than in patients after myocardial infarction. And with us it’s mostly women.
Some more statistics: up to 30% of patients with decompensated heart failure die within one year after discharge from the hospital.
According to studies, about 28 million people suffer from heart failure in developed European countries. In Russia, the number of patients with a diagnosed disease is 5.1 million, real indicators are much higher – about 9 million people. If all patients lived on the territory of Moscow, then they would constitute 75% of its inhabitants! At one point in their lives, one in five people is suffering from heart failure.
See also: Alarming “bells” of an impending heart attack
In Russia, a third of all patients, namely 2.4 million people, have a terminal stage of the disease, often accompanied by decompensation (exacerbation). Mortality from heart failure is almost 10 times higher than mortality from myocardial infarction: up to 612 thousand Russians suffering from this disease die every year.
“The treatment of heart failure, and in particular its decompensation, is a difficult task for specialists,” said Sergey Tereshchenko, MD, professor, head of the department of myocardial disease and heart failure, Federal State Budgetary Institution for Cardiology, Russian Ministry of Health, executive director of the Society of Emergency Specialists “- not only the heart, but also such important internal organs as the liver and kidneys. And each subsequent decompensation brings the patient closer to death.”
Heart failure is a common and potentially life-threatening condition in which the heart begins to pump blood through the vessels worse. In this regard, organs receive less nutrients and oxygen, and the body is becoming increasingly difficult to perform daily physical activity.
In recent years, there has been a steady increase in both the total number of patients with heart failure and patients of working and early retirement age. According to research, in Russia, one in four heart failure patients is younger than 60 years old (25.1%).
Most often in Russia, heart failure is a consequence of arterial hypertension, coronary heart disease, acute myocardial infarction, diabetes mellitus, heart defects and other causes, as well as their combination. The risk of developing heart failure increases with age. Moreover, in men, the disease usually develops earlier. In the world, chronic heart failure is more common in men than in women.
“In Russia, the situation is slightly different from the world – 60% of all hospital patients diagnosed with chronic heart failure in our country are women,” said Igor Zhirov, MD, a leading researcher in the department of myocardial diseases and heart failure of the Federal State Budget-Funded Scientific Center “RKNPK” of the Russian Ministry of Health. – Incidence CHF is steadily increasing due to the aging of the general population. Evidence from various epidemiological studies suggests that women have a 20% risk of developing CHF over a lifetime. ”
Heart failure is a chronic disease, and with the proper organization of treatment, nutrition and physical activity in these patients, it is possible to reduce the risk of death and hospitalization. The greatest danger to life is represented by periods of exacerbation (decompensation), with each of which the heart muscle is damaged, as well as the so-called target organs, including the liver and kidneys. It is an exacerbation episode that dramatically changes the course of the disease and increases the risk of death. According to statistics, up to 30% of patients with decompensated heart failure after discharge from the hospital die within a year.
Decompensation requires urgent and adequate therapy, so patients with heart failure should be especially attentive to their condition. Decompensation is characterized by worsening symptoms of heart failure, which include: shortness of breath, cough, swelling in the ankles and abdomen, fatigue, difficulty breathing while lying down, quick weight gain, palpitations, and much more. Having noticed these symptoms, as well as any significant deterioration in his condition, the patient should immediately consult a doctor, as this can be a sign of exacerbation of heart failure.
Treatment of decompensation of heart failure is a complex process aimed both at stabilizing the patient’s condition and protecting organs from damage. With existing drugs, it is extremely difficult to control the patient’s condition, since their use is mainly aimed at reducing the severity of symptoms – edema and shortness of breath.