Insights into the European heart failure epidemiology
Seferović P.M. Polovina M. Savarese G. Milinković I. Stanisavljević D. Lund L. Chioncel O. Abdelhamid M. Lopatin Y. Störk S. Anguita Sanchez M. Piepoli M. Maggioni A.P. Jankowska E. Bayes-Genis A. Cohen Solal A. Ristić A. Tokmakova M. Yilmaz M.B. Skouri H. Miličić D. Amir O. Rakisheva A. Filippatos G. Rosano G. Metra M. Coats A.J. Seferović P.M. Rosano G. Coats A.J. Maggioni A.P. Lund L. Jankowska E. Piepoli M. Chioncel O. Lopatin Y. Stork S. Sanchez M.A. Lainscak M. Polovina M. Savarese G. Bayes-Genis A. Vaduganathan M. Milinković I. Abdelhamid M. Rakisheva A. Sisakian H. Stamboltsyan M. Pouleur A.-C. Roussoulières M.D.C.S.A. Troisfontaines P. Gatzov P. Tokmakova M. Kušljugić Z. Hudić L.D. Kovačević T.P. Glavaš D. Miličić D. Málek F. Barberis V. Schou M. Vishram-Nielsen J.K.K. Jensen J. Wolsk E. Poder P. Girerd N. Raake P. Stoerk S. Dietl A. Jungbauer C. Farmakis D. Sepp R. Habon T. Ingimarsdóttir I.J. Donald K.M. Dalton B. Jasinska-Piadlo A. Farrell C. Mannion T. Gotsman I. Gal T.B. Haklai J.M.W.Z. Gordon A.-S. Aspromonte N. Orso F. Rakisheva A. Mirrakhimov E. Kamzola G. Skouri H. Massouh A. Žaliaduonytė D. Čelutkienė J. Xuereb R.G. Moore A.M. Manintveld O.C. de Boer R.A. Larsby K.E. von Lueder T.G. Jovanova S. Srbinovska-Kostovska E. Rotolo M.M. Vataman E. Bursacovschi D. Leszek P. Jankowska E. Kocieck M.Z. Moura B. Fonseca C. Petris A. Chioncel O. Lopatin Y. Begrambekova J. Belenkov Y. Milinković I. Polovina M. Goncalvesova E. Lesny P. Lainscak M. Fras Z. Mayoral A.R. Bayes-Genis A. Lindmark K. Savarese G. Hullin R. Schukraft S. Abdin A. Altay H. Çavusoglu Y. Yilmaz B. Celik A. Gardner R. Abdullaev T.
November 2025John Wiley and Sons Ltd
European Journal of Heart Failure
2025#27Issue 111950 - 1960 pp.
Aims: The Heart Failure Association (HFA) of the European Society of Cardiology (ESC), together with the National Heart Failure Societies (NHFS), designed the European Heart Failure (HF) Survey with an aim of assessing contemporary HF epidemiology, management resources, availability and reimbursement of guideline-directed medications and devices, and structure of professional and patient organizations. This document presents data on HF epidemiology. Methods and results: The European HF Survey was conducted in 43 ESC member countries. Epidemiology data were exclusively collected from national health statistics from 2019, and standardized according to the European Standard Population, with variable response rates and data completeness among the countries. Median annual HF incidence was 3.9 patients per 1000 person-years (interquartile range [IQR] 3.1–6.5), and median HF prevalence was 1937 patients (IQR 1463–3416) per 100 000 population. Median in-hospital mortality of patients admitted for HF was 8.0% (IQR 4.9–9.6%), and median 1-year all-cause mortality of patients with HF was 14.5% (IQR 8.2–21.6%). Median number of HF-related hospitalizations was 333 (IQR 230–469) per 100 000 population, and median length of stay for HF-related hospitalizations was 8.5 (IQR 7.2–9.2) days. A heterogeneity in HF epidemiology statistics was observed across different countries. Conclusions: The European HF Survey provides a contemporary insight into HF epidemiology and outcomes across the ESC member countries. These data are valuable to inform strategies to improve prevention, diagnosis, and management of HF. The persisting gaps and considerable heterogeneity in epidemiology statistics highlight the need to further unify data collection and reporting practices across European countries.
Epidemiology , European HF Survey , Hospitalization , Incidence , Mortality , Outcome , Prevalence
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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Serbian Academy of Sciences and Arts, Belgrade, Serbia
Department of Cardiology, University Clinical Centre of Serbia, Belgrade, Serbia
Institute for Medical Statistics and Informatics, Belgrade, Serbia
Division of Cardiology, Department of Medicine, Karolinska Institutet, Stockholm, Sweden
Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden
Emergency Institute for Cardiovascular Diseases ‘Prof. Dr. C.C. Iliescu’, University for Medicine and Pharmacy ‘Carol Davila’, Bucharest, Romania
Department of Cardiovascular Medicine, Faculty of Medicine, Kasr Al Ainy, Cairo University, Cairo, Egypt
Volgograd Medical University, Cardiology Centre, Volgograd, Russian Federation
Department of Clinical Research & Epidemiology, Comprehensive Heart Failure Center and Department Internal Medicine I, University Hospital Würzburg, Würzburg, Germany
Servicio de Cardiología, Hospital Universitario Reina Sofía, Córdoba, Spain
University Cardiology, IRCCS Policlinico San Donato, Milan, Italy
Department of Preventive Cardiology, Institute of Heart Diseases, Wroclaw Medical University, Wroclaw, Poland
Research Centre of the Italian Association of Hospital Cardiologists, Florence, Italy
Centre for Heart Diseases, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
Cardiology Department and Heart Failure Unit, Hospital Universitari Germans Trias i Pujol, Badalona, Spain
CUMR-S 942 MASCOT, Paris University, Cardiology Department, Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, Paris, France
Medical University of Plovdiv, Plovdiv, Bulgaria
Department of Cardiology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey
Division of Cardiology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
University of Zagreb School of Medicine, Department of Cardiovascular Diseases, University Hospital Centre Zagreb, Zagreb, Croatia
Department of Cardiology, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
City Cardiology Center, Almaty, Kazakhstan
Department of Cardiology, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece
Centre for Clinical and Basic Research, Department of Medical Sciences, IRCCS San Raffaele Pisana, Rome, Italy
Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Cardiothoracic Department, Civil Hospitals, Brescia, Italy
Heart Research Institute, Newtown, NSW, Australia
Faculty of Medicine
Serbian Academy of Sciences and Arts
Department of Cardiology
Institute for Medical Statistics and Informatics
Division of Cardiology
Heart and Vascular Theme
Emergency Institute for Cardiovascular Diseases ‘Prof. Dr. C.C. Iliescu’
Department of Cardiovascular Medicine
Volgograd Medical University
Department of Clinical Research & Epidemiology
Servicio de Cardiología
University Cardiology
Department of Preventive Cardiology
Research Centre of the Italian Association of Hospital Cardiologists
Centre for Heart Diseases
Cardiology Department and Heart Failure Unit
CUMR-S 942 MASCOT
Medical University of Plovdiv
Department of Cardiology
Division of Cardiology
University of Zagreb School of Medicine
Department of Cardiology
City Cardiology Center
Department of Cardiology
Centre for Clinical and Basic Research
Cardiology
Heart Research Institute
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