Prevalence of heart failure in the Spanish general population aged over 45 years. The PRICE Study
Manuel Anguita Sánchez, María G Crespo Leiro, Eduardo de Teresa Galván, Manuel Jiménez Navarro, Luis Alonso-Pulpón, Javier Muñiz García, PRICE Study Investigators, Manuel Anguita Sánchez, María G Crespo Leiro, Eduardo de Teresa Galván, Manuel Jiménez Navarro, Luis Alonso Pulpón, Javier Muñiz García, Manuel Anguita Sánchez, Federico Vallés Belsue, Soledad Ojeda, M Auxiliadora Cabanas Espejo, Enrique Martín Rioboo, Juana González Barranco, Antonio Hernández Ruiz, José A Fernández García, Emilio García Criado, Cristina Aguado Taberne, Jorge Martinez de la Iglesia, Remedios Vigara Madueño, Miguel Angel Ulecia Martínez, Francisco Ramos Díaz, Francisco Revella Muñoz, Guillermo Gutiérrez Aparicio, Rafael Ortiz Cabrera, García Nieves, Peregrina Castillo, Francisco Javier Ramos López, Antonio Menéndez Jiménez, Alfonso del Río Ligorit, Antonio San Pedro Feliz, Rosario Ortas, Pilar Portero, David Bierge, José A Urbistondo Blasco, José Ignacio Torrente Garrido, Teresa Sil Cortés, Alfredo Herranz Alfaro, Amor Alava Causapé, Rosario Aranda Martín, Nieves Sierra Arroyo, Isabel Rodrigo Esteban, Jesús Torrecilla Conde, Féliz Gutiérrez Moreno, Marisa Sanz, Teresa Blanco, Isabel Calvo, Carlos Coscollar Santaliestra, Sol Reixa Vizoso, Javier Perfecto Ejarque, Rosa Magallón Botaya, Aurelio Martín Ruiz, Ana Hernández Moreno, M Antonia Sánchez Calavera, Gloria Sanz Rebollo, Pilar Melón Juncosa, M Natividad González Viejo, Javier Guelbenzu Morte, Amor Melguizo Bejar, Javier Rubio Galán, José Ramón de Berrazueta, Fernando J Ocón Martínez, Luis Alberto Vara, Jesús García Cobo, José M Díaz Pera, Angeles Pérez Martínez, Manuel Rayo Gutiérrez, Jesús Carrasco Herrera, Fernando J de Diego Rodríguez, Pilar Moraleda Velasco, Raquel Bañón García, Alberto Batalla Velorio, Manuel Sieres Felgueres, José Sergio Hevia Nava, Enrique Cimas Hernando, Carmen Echegaray Pérez, Paloma Virgala Tejeiro, Luis Fernando Herraez Cabañas, Ramón Macías Pérez, Beatriz Fernández Gutiérrez, Pilar Rey González, Alfredo Alvarez Alvarez, Claudia Iñesta Mena, Jesús de la Hera Galarza, M Esther Fernández Huelga, Antonio Trisán Anoro, Honorino Menéndez Montes, Joaquín García Neches, Gloria Menéndez Abraham, Ana Menéndez Rodríguez, Montserrat Velasco González, Rocio Fernández Collar, Angeles García García, José Luis Nieto, Gema González Nogal, Gerardo Casares, Víctor Rodríguez Blanco, José Flórez García, M Teresa Aznar Andrés, Agustín Fraile Gómez, Jaime López Díaz, Agustín Sánchez Hernández, José M Ledo Cabaleiro, Susana Corte Díaz, Francisco Calvo Iglesias, José Luis Escribano Arias, Carlos Rodríguez Pascual, José Luis Salgado, Angel Pérez Pequeño, Juan Crespo, Francisco de Asís Bacariza Piñón, Francisco García Arcos, Maria F Sáinz Salazar, Nieves Turienzo, Carlos Pérez Pérez, Cristina Alonso Ferreira, M Dolores Cabaleiro Ubeiras, Esther Diéguez Soengas, Francisco Javier García Soidán, Elías Puga Sarmiento, José Benito Rodríguez Fernán, Angeles Charle Crespo, Francisco Sanisidro Vilaso, Ana Tapia Gil, Ana María Iglesias Costa, Olga Gómez Fernández, María Teresa Ríos Rey, Manuel González Moreira, Emilia Cortizo Torres, M Elena Fernández Diéguez, Julio Prado Domínguez, José Francisco Verdía Armada, Manuel de Toro Santos, Miguel Pérez de Juan Romero, José Antonio Lamelas, Amaia Pérez Izaguirre, Angélica Molina Blanco, Elena Outeiriño López, Adela Balado Carballido, Gabriel Díaz Grávalos, Gerardo Palmeiro Fernández, Pilar Alonso Alvarez, José Antonio Ramos Sandias, Salvador Rey Suárez, M Jesús Sánchez Cougil, Emilio González Reza, M Jesús Fernández Silva, Belén Novoa Rodríguez, Antonio González Alvarez, Alberto Alamo Alonso, Manuel González Rodríguez, M Jesús Arias Gómez, Raimundo Gulín González, Concepción Martín García, Agapito Diéguez Estévez, José Antonio Ruiz Ros, Ramón López Guillén, Joaquín Carrillo Espinosa, Tomás Amorós Bueno, Nekane Murga Eizagaecheverria, Begoña Goiria Bikondi, Purificación de Cos Rodríguez, Javier Andrés Novales, Juan Luis Juez Senovilla, Fernando Uribe Oyarbide, Jaime Muñoz Gil, Amparo García Royo, Rosario González Candelas, Carmen Requena Marín, Javier Muñiz García, M Isolina Santiago Pérez, Manuel Anguita Sánchez, María G Crespo Leiro, Eduardo de Teresa Galván, Manuel Jiménez Navarro, Luis Alonso-Pulpón, Javier Muñiz García, PRICE Study Investigators, Manuel Anguita Sánchez, María G Crespo Leiro, Eduardo de Teresa Galván, Manuel Jiménez Navarro, Luis Alonso Pulpón, Javier Muñiz García, Manuel Anguita Sánchez, Federico Vallés Belsue, Soledad Ojeda, M Auxiliadora Cabanas Espejo, Enrique Martín Rioboo, Juana González Barranco, Antonio Hernández Ruiz, José A Fernández García, Emilio García Criado, Cristina Aguado Taberne, Jorge Martinez de la Iglesia, Remedios Vigara Madueño, Miguel Angel Ulecia Martínez, Francisco Ramos Díaz, Francisco Revella Muñoz, Guillermo Gutiérrez Aparicio, Rafael Ortiz Cabrera, García Nieves, Peregrina Castillo, Francisco Javier Ramos López, Antonio Menéndez Jiménez, Alfonso del Río Ligorit, Antonio San Pedro Feliz, Rosario Ortas, Pilar Portero, David Bierge, José A Urbistondo Blasco, José Ignacio Torrente Garrido, Teresa Sil Cortés, Alfredo Herranz Alfaro, Amor Alava Causapé, Rosario Aranda Martín, Nieves Sierra Arroyo, Isabel Rodrigo Esteban, Jesús Torrecilla Conde, Féliz Gutiérrez Moreno, Marisa Sanz, Teresa Blanco, Isabel Calvo, Carlos Coscollar Santaliestra, Sol Reixa Vizoso, Javier Perfecto Ejarque, Rosa Magallón Botaya, Aurelio Martín Ruiz, Ana Hernández Moreno, M Antonia Sánchez Calavera, Gloria Sanz Rebollo, Pilar Melón Juncosa, M Natividad González Viejo, Javier Guelbenzu Morte, Amor Melguizo Bejar, Javier Rubio Galán, José Ramón de Berrazueta, Fernando J Ocón Martínez, Luis Alberto Vara, Jesús García Cobo, José M Díaz Pera, Angeles Pérez Martínez, Manuel Rayo Gutiérrez, Jesús Carrasco Herrera, Fernando J de Diego Rodríguez, Pilar Moraleda Velasco, Raquel Bañón García, Alberto Batalla Velorio, Manuel Sieres Felgueres, José Sergio Hevia Nava, Enrique Cimas Hernando, Carmen Echegaray Pérez, Paloma Virgala Tejeiro, Luis Fernando Herraez Cabañas, Ramón Macías Pérez, Beatriz Fernández Gutiérrez, Pilar Rey González, Alfredo Alvarez Alvarez, Claudia Iñesta Mena, Jesús de la Hera Galarza, M Esther Fernández Huelga, Antonio Trisán Anoro, Honorino Menéndez Montes, Joaquín García Neches, Gloria Menéndez Abraham, Ana Menéndez Rodríguez, Montserrat Velasco González, Rocio Fernández Collar, Angeles García García, José Luis Nieto, Gema González Nogal, Gerardo Casares, Víctor Rodríguez Blanco, José Flórez García, M Teresa Aznar Andrés, Agustín Fraile Gómez, Jaime López Díaz, Agustín Sánchez Hernández, José M Ledo Cabaleiro, Susana Corte Díaz, Francisco Calvo Iglesias, José Luis Escribano Arias, Carlos Rodríguez Pascual, José Luis Salgado, Angel Pérez Pequeño, Juan Crespo, Francisco de Asís Bacariza Piñón, Francisco García Arcos, Maria F Sáinz Salazar, Nieves Turienzo, Carlos Pérez Pérez, Cristina Alonso Ferreira, M Dolores Cabaleiro Ubeiras, Esther Diéguez Soengas, Francisco Javier García Soidán, Elías Puga Sarmiento, José Benito Rodríguez Fernán, Angeles Charle Crespo, Francisco Sanisidro Vilaso, Ana Tapia Gil, Ana María Iglesias Costa, Olga Gómez Fernández, María Teresa Ríos Rey, Manuel González Moreira, Emilia Cortizo Torres, M Elena Fernández Diéguez, Julio Prado Domínguez, José Francisco Verdía Armada, Manuel de Toro Santos, Miguel Pérez de Juan Romero, José Antonio Lamelas, Amaia Pérez Izaguirre, Angélica Molina Blanco, Elena Outeiriño López, Adela Balado Carballido, Gabriel Díaz Grávalos, Gerardo Palmeiro Fernández, Pilar Alonso Alvarez, José Antonio Ramos Sandias, Salvador Rey Suárez, M Jesús Sánchez Cougil, Emilio González Reza, M Jesús Fernández Silva, Belén Novoa Rodríguez, Antonio González Alvarez, Alberto Alamo Alonso, Manuel González Rodríguez, M Jesús Arias Gómez, Raimundo Gulín González, Concepción Martín García, Agapito Diéguez Estévez, José Antonio Ruiz Ros, Ramón López Guillén, Joaquín Carrillo Espinosa, Tomás Amorós Bueno, Nekane Murga Eizagaecheverria, Begoña Goiria Bikondi, Purificación de Cos Rodríguez, Javier Andrés Novales, Juan Luis Juez Senovilla, Fernando Uribe Oyarbide, Jaime Muñoz Gil, Amparo García Royo, Rosario González Candelas, Carmen Requena Marín, Javier Muñiz García, M Isolina Santiago Pérez
Abstract
Introduction and objectives: Congestive heart failure is associated with substantial morbidity and mortality and both its incidence and prevalence are high. Nevertheless, comprehensive data on this condition in Spain are lacking. The aim of this study was to determine the prevalence of congestive heart failure in Spain.
Methods: A demographic study which involved the participation of 15 healthcare centers throughout Spain was carried out. In each health area, a random sample was taken of the population aged 45 years or more. These individuals were examined by their primary care physicians, who made their diagnoses using Framingham criteria. Individuals who satisfied criteria for congestive heart failure were referred to a cardiologist for confirmation of the diagnosis and for echocardiography.
Results: Overall, 1776 individuals were evaluated. Their mean age was 64+/-12 years (range, 45-100 years) and 44% were male. Of these, 242 were referred to a cardiologist. The weighted prevalence of congestive heart failure was 6.8% (95% confidence interval [CI] 4%-8.7%). The prevalence was similar in men (6.5%, 95% CI 4.7%-8.4%) and women (7%, 95% CI 4.4%-9.6%). When analyzed by age, the prevalence was 1.3% (0.4%-2.1%) in those aged 45-54 years, 5.5% (2.4%-8.5%) in those aged 55-64 years, 8% (4.2%-11.8%) in those aged 65-74 years, and 16.1% (11%-21.1%) in those aged over 74 years.
Conclusions: Prevalence of congestive heart failure in Spain is high, at about 7%-8%. The prevalence was similar in males and females, and appeared to increase with age.
Source: PubMed