Facts about CHF in Canada

Cardiovascular Disease and Mortality in Canada

HF Prevalence in Canada

Majority of HF Patients Treated by GPs/FPs

HF Cases on the Rise

Projected number of incident hospitalizations for CHF patients, using high, medium and low population growth projections in Canada 1996-2050

Heart Failure Mortality

• Canada’s average annual in-hospital mortality rate is:
  • 9.5 deaths/100 hospitalized patients >65 years of age
  • 12.5 deaths/100 hospitalized patients >75 years of age
• HF patients have a poor prognosis, with an average 1-year mortality rate of 33%

HF Readmissions

• Hospital readmission rates are high, and mainly due to recurrent heart failure

Mortality in HF Increases With Lower LVEF

• Higher LVEF decreases the risk of death

HF Hospitalizations Increase With Lower LVEF

• Higher LVEF decreases the risk of HF hospitalization

Mortality in HF Increases With Worsening NYHA Classification

• Worse NYHA classification associated with an increased risk of death

Hospitalization for HF Increases With Worsening NYHA Classification

• Worse NYHA classification associated with an increased risk of all-cause hospitalization

Treatment of Heart Failure

What Dosages of Drugs Should Be Used?

Conclusions

• Make an accurate and timely diagnosis
• Initiate treatment to
  • Reduce HF risk factors
  • Reduce HF symptoms
  • Reduce hospitalizations
  • Improve quality of life
  • Prolong survival
• Refer patients at higher risk to specialist or HF clinic
• Continue to translate new knowledge into practice
• Combine available healthcare resources to improve delivery of best care and practices to HF patients
• Improve HF outcomes in Canada

Number of Hospitalizations for CHF (actual and projected) in Canada 1980-2025

Number of CHF Deaths (actual and projected) in Canada, 1980-2025

Heart Failure Costs in the UK