Parameshwar J, Shackell M M, Richardson A, Poole-Wilson P A, Sutton G C
National Heart and Lung Institute, London.
Br J Gen Pract. 1992 Jul;42(360):287-9.
There is little recent information on the prevalence of heart failure in the United Kingdom. Assuming that patients with heart failure would be taking diuretic drugs all such patients were identified in three general practices in north west London. The practice records of these patients were examined to determine which patients had heart failure. Of the 30,204 patients served by the practices, 117 had heart failure, a prevalence of 3.9 per 1000 patients. The mean age of these patients was 74 years. The prevalence of heart failure among patients under 65 years of age was 0.6 per 1000 patients rising to 27.7 per 1000 among those aged 65 years and over. The aetiology of heart failure was considered to be coronary heart disease for 32% of patients, valve disease for 19%, hypertension for 6%, cor pulmonale for 4% and congenital heart disease for 2%. The aetiology for the remaining 37% of patients was unknown. Most patients were referred to hospital and only 20% had been treated solely by the general practitioner. An electrocardiogram and chest radiograph had been obtained for over 80% of patients but only 28% had an echocardiogram. Heart failure occurs primarily in elderly patients, and coronary heart disease is the dominant aetiological factor.
近期关于英国心力衰竭患病率的信息较少。假设心力衰竭患者会服用利尿剂，在伦敦西北部的三家普通诊所中识别出了所有此类患者。检查了这些患者的诊疗记录，以确定哪些患者患有心力衰竭。在这些诊所服务的30204名患者中，有117名患有心力衰竭，患病率为每1000名患者中有3.9例。这些患者的平均年龄为74岁。65岁以下患者中，心力衰竭的患病率为每1000名患者中有0.6例，65岁及以上患者中则升至每1000名患者中有27.7例。32%的患者心力衰竭病因被认为是冠心病，19%是瓣膜病，6%是高血压，4%是肺心病，2%是先天性心脏病。其余37%患者的病因不明。大多数患者被转诊至医院，仅有20%仅由全科医生治疗。超过80%的患者进行了心电图和胸部X光检查，但只有28%的患者进行了超声心动图检查。心力衰竭主要发生在老年患者中，冠心病是主要病因。
