Prognostic Factors in Hospitalization for Heart Failure in Asia》.pdf

Prognostic Factors in Hospitalization for Heart Failure in Asia a b,* Seok-Min Kang, MD, PhD , Myeong-Chan Cho, MD, PhD KEYWORDS Heart failure Hospitalization Prognostic factors KEY POINTS The prevalence of heart failure (HF) with repeated rehospitalization because of worsening of HF is increasing and becoming a critical economic burden in Asian countries. Each hospitalization is associated with progressive myocardial or renal injuries that cause a high rehospitalization rate and postdischarge mortality. Various clinical characteristics, causes, and treatment strategies may account for the differences in the prognostic factors for clinical outcomes between Asian countries. Periodic HF registries leading to better understanding of the characteristics of Asian patients hos- pitalized with HF are warranted in the future. INTRODUCTION rate has remained unchanged, and may even get worse in the United States and several European Heart failure (HF) is a complex clinical syndrome and countries.2–4 According to Western data, postdi- a global public health problem that is a leading scharge mortality and the rehospitalization rate cause of hospitalization because of repeated wors- reach up to 20% and 30%, respectively, within ening of HF. Thus, recurrent rehospitalization is 6 months. becoming a critical issue with a growing economic Hospitalization with HF (HHF) is characterized burden in Asian countries. Furthermore, patients by rapid worsening of chronic HF or new-onset hospitalized with HF have a higher postdischarge (de novo) acute HF requiring urgent therapy, mortality with higher rehospitalization rates.1 accompanie