Scandinavian Cardiovascular Journal
Volume 52, Issue 6, 2018, Pages 292-300
Heart failure in immigrant groups: a cohort study of adults aged 45 years and over in Sweden (Article) (Open Access)
Wändell P.* ,
Carlsson A.C. ,
Li X. ,
Gasevic D. ,
Ärnlöv J. ,
Holzmann M.J. ,
Sundquist J. ,
Sundquist K.
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a
Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
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b
Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
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c
Center for Primary Health Care Research, Lund University, Malmö, Sweden
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d
Usher Institute of Population Health Sciences and Informatics, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
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e
Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden, School of Health and Social Studies, Dalarna University, Falun, Sweden
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f
Functional Area of Emergency Medicine, Karolinska University Hospital, Stockholm, Sweden, Department of Internal Medicine Solna, Karolinska Institutet, Stockholm, Sweden
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g
Center for Primary Health Care Research, Lund University, Malmö, Sweden, Department of Family Medicine and Community Health, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States, Center for Community-based Healthcare Research and Education (CoHRE), Department of Functional Pathology, School of Medicine, Shimane University, Matsue, Japan
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h
Center for Primary Health Care Research, Lund University, Malmö, Sweden, Department of Family Medicine and Community Health, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States, Center for Community-based Healthcare Research and Education (CoHRE), Department of Functional Pathology, School of Medicine, Shimane University, Matsue, Japan
Abstract
Objective. An increased risk of being diagnosed with coronary heart disease or atrial fibrillation has been shown among different immigrant groups. However, less is known on the risk of being diagnosed with congestive heart failure (CHF). Design. We studied CHF in immigrants including all adults ≥45 years in Sweden (n = 3,274,119) from 1998 to 2012. CHF was defined as at the first event registered in the National Patient Register. Risk of incident CHF in immigrant groups compared to the Swedish-born population was assessed by Cox regression, stratified by sex, adjusting for age, socio-demographic status, and co-morbidities. Results. During a mean follow-up of 14 years in total, a total of 302,340 (9.2%) events of CHF were registered. We found the following: higher incidence in men from Bosnia, Iraq, Lebanon, Russia and Africa; among women from Bosnia, Iraq, Lebanon, Turkey, Central Europe and Finland; lower incidence in men from Iceland, Latin America, Southern Europe, Norway and Western Europe; and among women from Iceland, Southern Europe, Norway, Denmark and Western Europe. Conclusion. It is important to be aware of the increased incidence of CHF in some immigrant groups, especially from countries and areas where the immigrants have been refugees, in order to enable for a timely diagnosis, treatment of and prevention of CHF and its debilitating complications. © 2018, © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85057305235&doi=10.1080%2f14017431.2018.1546892&partnerID=40&md5=ec5d9f8f72f4959a9c50a1c0bfa3837d
DOI: 10.1080/14017431.2018.1546892
ISSN: 14017431
Cited by: 1
Original Language: English