Preventing heart failure: a position paper of the Heart Failure Association in collaboration with the European Association of Preventive Cardiology

Massimo F Piepoli^{1

2}, Marianna Adamo³, Andrea Barison^{2

4}, Reinaldo B Bestetti⁵, Jan Biegus⁶, Michael Böhm⁷, Javed Butler⁸, Jonathan Carapetis⁹, Claudio Ceconi¹⁰, Ovidiu Chioncel^{11

12}, Andrew Coats¹³, Maria G Crespo-Leiro¹⁴, Giovanni de Simone¹⁵, Heinz Drexel^{16

17}, Michele Emdin^{2

4}, Dimitros Farmakis¹⁸, Martin Halle¹⁹, Stephane Heymans^{20

21}, Tiny Jaarsma^{22

23}, Ewa Jankowska²⁴, Mitja Lainscak^{25

26}, Carolyn S P Lam²⁷, Maja-Lisa Løchen²⁸, Yuri Lopatin²⁹, Aldo Maggioni³⁰, Benedetta Matrone¹, Marco Metra³, Katharine Noonan¹⁰, Ileana Pina³¹, Eva Prescott³², Giuseppe Rosano³³, Petar M Seferovic³⁴, Karen Sliwa³⁵, Simon Stewart³⁶, Alicia Uijl^{21

37

38}, Ilonca Vaartjes²³, Roel Vermeulen³⁷, W M Monique Verschuren^{39

40}, Maurizio Volterrani³³, Stephan von Heahling^{41

42}, Arno Hoes²³

Affiliations

¹ Cardiac Unit, Guglielmo da Saliceto Hospital, Piacenza, Italy.
² Institute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
³ Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, ASST Spedali Civili di Brescia, Brescia, Italy.
⁴ Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
⁵ Universidade de Ribeirão Preto, Ribeirão Preto, Brazil.
⁶ Department of Heart Diseases, Medical University, Wroclaw, Poland.
⁷ Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Saarland University, Homburg/Saar, Germany.
⁸ Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
⁹ Telethon Kids Institute, University of Western Australia and Perth Children's Hospital, Perth, Australia.
¹⁰ Department of Translational Medicine, University of Ferrara, Ferrara, Italy.
¹¹ University of Medicine Carol Davila, Bucharest, Romania.
¹² Emergency Institute for Cardiovascular Diseases 'C.C. Iliescu', Bucharest, Romania.
¹³ University of Warwick, Coventry, UK.
¹⁴ Complexo Hospitalario Universitario A Coruña (CHUAC): CIBERCV, Universidade da Coruña (UDC), Instituto Ciencias Biomedicas A Coruña (INIBIC), A Coruña, Spain.
¹⁵ Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
¹⁶ Department of Medicine, Landeskrankenhaus Bregenz, Bregenz, Austria.
¹⁷ VIVIT, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
¹⁸ University of Cyprus Medical School, Nicosia, Cyprus.
¹⁹ Sport and Health Sciences, Policlinic for Preventive and Rehabilitative Sports Medicine, TUM School of Medicine, Munich, Germany.
²⁰ Department of Cardiology, Maastricht University, CARIM School for Cardiovascular Diseases, Maastricht, the Netherlands.
²¹ Centre for Molecular and Vascular Biology, Department of Cardiovascular Sciences, KU Leuven, Belgium.
²² Department of Health, Medicine and Caring Sciences, Linkoping University, Linköping, Sweden.
²³ Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
²⁴ Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.
²⁵ Division of Cardiology, General Hospital Murska Sobota and Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
²⁶ Faculty of Natural Sciences and Mathematics, University of Maribor, Maribor, Slovenia.
²⁷ National Heart Centre Singapore, Duke-National University of Singapore, Singapore, Singapore.
²⁸ Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
²⁹ Volgograd State Medical University, Regional Cardiology Centre, Volgograd, Russian Federation.
³⁰ ANMCO Research Center, Florence, Italy.
³¹ Detroit Medical Center, Detroit, MI, USA.
³² Bispebjerg Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
³³ IRCCS San Raffaele, Roma, Italy.
³⁴ Belgrade University Faculty of Medicine, Serbian Academy of Science and Arts, Belgrade, Serbia.
³⁵ University of Cape Town, Cape Town, South Africa.
³⁶ Torrens University Australia, Adelaide, South Australia, Australia.
³⁷ Division of Heart & Lungs, Department of Cardiology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
³⁸ Division of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
³⁹ National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
⁴⁰ Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands.
⁴¹ Department of Cardiology and Pneumology, Heart Center, University of Göttingen Medical Center, Göttingen, Germany.
⁴² German Center for Cardiovascular Research (DZHK), partner site Göttingen, Germany.

PMID: 35083829
DOI: 10.1002/ejhf.2351

Free article

Review

Preventing heart failure: a position paper of the Heart Failure Association in collaboration with the European Association of Preventive Cardiology

Massimo F Piepoli et al. Eur J Heart Fail. 2022 Jan.

Free article

. 2022 Jan;24(1):143-168.

doi: 10.1002/ejhf.2351.

Authors

Affiliations

¹ Cardiac Unit, Guglielmo da Saliceto Hospital, Piacenza, Italy.
² Institute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
³ Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, ASST Spedali Civili di Brescia, Brescia, Italy.
⁴ Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
⁵ Universidade de Ribeirão Preto, Ribeirão Preto, Brazil.
⁶ Department of Heart Diseases, Medical University, Wroclaw, Poland.
⁷ Klinik für Innere Medizin III, Universitätsklinikum des Saarlandes, Saarland University, Homburg/Saar, Germany.
⁸ Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
⁹ Telethon Kids Institute, University of Western Australia and Perth Children's Hospital, Perth, Australia.
¹⁰ Department of Translational Medicine, University of Ferrara, Ferrara, Italy.
¹¹ University of Medicine Carol Davila, Bucharest, Romania.
¹² Emergency Institute for Cardiovascular Diseases 'C.C. Iliescu', Bucharest, Romania.
¹³ University of Warwick, Coventry, UK.
¹⁴ Complexo Hospitalario Universitario A Coruña (CHUAC): CIBERCV, Universidade da Coruña (UDC), Instituto Ciencias Biomedicas A Coruña (INIBIC), A Coruña, Spain.
¹⁵ Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
¹⁶ Department of Medicine, Landeskrankenhaus Bregenz, Bregenz, Austria.
¹⁷ VIVIT, Landeskrankenhaus Feldkirch, Feldkirch, Austria.
¹⁸ University of Cyprus Medical School, Nicosia, Cyprus.
¹⁹ Sport and Health Sciences, Policlinic for Preventive and Rehabilitative Sports Medicine, TUM School of Medicine, Munich, Germany.
²⁰ Department of Cardiology, Maastricht University, CARIM School for Cardiovascular Diseases, Maastricht, the Netherlands.
²¹ Centre for Molecular and Vascular Biology, Department of Cardiovascular Sciences, KU Leuven, Belgium.
²² Department of Health, Medicine and Caring Sciences, Linkoping University, Linköping, Sweden.
²³ Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
²⁴ Department of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland.
²⁵ Division of Cardiology, General Hospital Murska Sobota and Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
²⁶ Faculty of Natural Sciences and Mathematics, University of Maribor, Maribor, Slovenia.
²⁷ National Heart Centre Singapore, Duke-National University of Singapore, Singapore, Singapore.
²⁸ Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
²⁹ Volgograd State Medical University, Regional Cardiology Centre, Volgograd, Russian Federation.
³⁰ ANMCO Research Center, Florence, Italy.
³¹ Detroit Medical Center, Detroit, MI, USA.
³² Bispebjerg Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
³³ IRCCS San Raffaele, Roma, Italy.
³⁴ Belgrade University Faculty of Medicine, Serbian Academy of Science and Arts, Belgrade, Serbia.
³⁵ University of Cape Town, Cape Town, South Africa.
³⁶ Torrens University Australia, Adelaide, South Australia, Australia.
³⁷ Division of Heart & Lungs, Department of Cardiology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
³⁸ Division of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
³⁹ National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
⁴⁰ Institute for Risk Assessment Sciences, Utrecht University, Utrecht, the Netherlands.
⁴¹ Department of Cardiology and Pneumology, Heart Center, University of Göttingen Medical Center, Göttingen, Germany.
⁴² German Center for Cardiovascular Research (DZHK), partner site Göttingen, Germany.

PMID: 35083829
DOI: 10.1002/ejhf.2351

Erratum in

Corrigendum to: 'An international Delphi consensus regarding best practice recommendations for hyperkalaemia across the cardiorenal spectrum' and articles listed below.
[No authors listed] [No authors listed] Eur J Heart Fail. 2023 Mar;25(3):444. doi: 10.1002/ejhf.2790. Epub 2023 Feb 17. Eur J Heart Fail. 2023. PMID: 36799255 Free PMC article. No abstract available.
Corrigendum to 'Congestion in heart failure: A circulating biomarker-based perspective' and articles listed below.
[No authors listed] [No authors listed] Eur J Heart Fail. 2024 Jan;26(1):193. doi: 10.1002/ejhf.3123. Epub 2024 Jan 11. Eur J Heart Fail. 2024. PMID: 38213103 No abstract available.

Abstract

The heart failure epidemic is growing and its prevention, in order to reduce associated hospital readmission rates and its clinical and economic burden, is a key issue in modern cardiovascular medicine. The present position paper aims to provide practical evidence-based information to support the implementation of effective preventive measures. After reviewing the most common risk factors, an overview of the population attributable risks in different continents is presented, to identify potentially effective opportunities for prevention and to inform preventive strategies. Finally, potential interventions that have been proposed and have been shown to be effective in preventing heart failure are listed.

Keywords: Arterial hypertension; Diabetes mellitus; Epidemiology; Heart failure; Population attributable risks; Prevention.

The article has been co-published with permission in the European Journal of Preventive Cardiology and European Journal of Heart Failure. All rights reserved. © the Author(s) 2022. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either citation can be used when citing this article.

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References

1. Groenewegen A, Rutten FH, Mosterd A, Hoes AW. Epidemiology of heart failure. Eur J Heart Fail 2020;22:1342-1356.
1. Uijl A, Koudstaal S, Direk K, Denaxas S, Groenwold R, Banerjee A, Hoes AW, Hemingway H, Asselbergs FW. Risk factors for incident heart failure in age- and sex- specific strata: a population-based cohort using linked electronic health records. Eur J Heart Fail 2019;21:1197-1206.
1. Del Gobbo LC, Kalantarian S, Imamura F, Lemaitre R, Siscovick DS, Psaty BM, Mozaffarian D. Contribution of major lifestyle risk factors for incident heart failure in older adults: the Cardiovascular Health Study. JACC Heart Fail. 2015;3:520-528.
1. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, Cooney MT, Corrà U, Cosyns B, Deaton C, Graham I, Hall MS, Hobbs FDR, Løchen ML, Löllgen H, Marques-Vidal P, Perk J, Prescott E, Redon J, Richter DJ, Sattar N, Smulders Y, Tiberi M, Van der Worp HB, Van Dis I, Verschuren WM, Binno S. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 2016;37:2315-2381.
1. Mach F, Baigent C, Catapano AL, Koskinas KC, Casula M, Badimon L, Chapman MJ, De Backer GG, Delgado V, Ference BA, Graham I.M., Halliday A, Landmesser U, Mihaylova B, Pedersen TB, Riccardi G, Richter DJ, Sabatine MS, Taskinen MR, Tokgozoglu L, Wiklund O. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J 2020;41:111-188.

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Preventing heart failure: a position paper of the Heart Failure Association in collaboration with the European Association of Preventive Cardiology

Affiliations

Preventing heart failure: a position paper of the Heart Failure Association in collaboration with the European Association of Preventive Cardiology

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Affiliations

Erratum in

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