RESEARCH REPORT

Mortality from heart failure in an English population, 1979–2003: study of death certification

Michael J Goldacre¹, David Mant², Marie Duncan¹ and Myfanwy Griffith¹

¹ Unit of Health-Care Epidemiology, Department of Public Health, University of Oxford, UK
² Department of Primary Care, University of Oxford

Correspondence to:
Correspondence to:
Professor M J Goldacre
Unit of Health-Care Epidemiology, Department of Public Health, University of Oxford, Old Road Campus, Oxford, OX3 7LF, UK; michael.goldacre{at}dphpc.ox.ac.uk

Objective: It is widely held that there will be an epidemic of heart failure in Europe and North America as a result of increased survival from myocardial infarction and other coronary heart disease. The study objective was to discover if the decline in mortality from coronary heart disease has been accompanied by a rise in mortality from heart failure in the study population.

Design: Analysis of database of mortality records including all certified causes of death, not just the underlying cause, from 1979–2003.

Setting: Former Oxford NHS Region, England.

Patients: Data from death certificates of all who died in the population covered.

Main results: Mortality rates for heart failure fell at very similar rates as those from coronary heart disease. In men, the average annual fall in mortality from coronary heart disease was –2.7% (95% confidence intervals –2.8 to –2.5) and that from heart failure was –2.9% (–3.2 to –2.5). In women, the average annual fall in mortality from coronary heart disease was –2.3% (–2.6 to –2.1) and that from heart failure was –2.6% (–3.0 to –2.3).

Conclusions: The decline in mortality from coronary heart disease has not been accompanied by a rise in mortality from heart failure. A future epidemic of heart failure, as a consequence of the decline in mortality from coronary heart disease, seems unlikely.

Keywords: coronary heart disease; heart failure; mortality; death coding

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

• Najafi, F., Jamrozik, K., Dobson, A. J. (2009). Understanding the 'epidemic of heart failure': a systematic review of trends in determinants of heart failure. Eur J Heart Fail 11: 472-479 [Abstract] [Full Text]