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31 reviewsThis comprehensive report from the Journal of Cardiac Failure, "HF STATS 2025," provides a critical and sobering update on heart failure epidemiology and outcomes in the United States. Authored by a prestigious committee chaired by Dr. Gregg C. Fonarow, it synthesizes vast data to highlight a pressing public health crisis.
Key takeaways are alarming: HF prevalence is projected to rise dramatically to 11.4 million Americans by 2050, with a staggering 1 in 4 individuals facing a lifetime risk. Mortality rates, which had previously declined, have been increasing since 2012, a trend exacerbated by the COVID-19 pandemic. The report powerfully underscores profound racial and ethnic disparities, with Black, American Indian, and Alaska Native individuals experiencing the highest mortality and hospitalization rates.
The review is commendable for its expanded scope, including new sections on advanced HF (Stage C2D), specific cardiomyopathies (cardiac amyloidosis, HCM), and the cardiovascular-kidney-metabolic (CKM) syndrome. It also delivers a crucial message on the suboptimal implementation of guideline-directed medical therapy, noting that less than a quarter of eligible HFrEF patients receive quadruple therapy, representing a massive lost opportunity to save lives.
Ultimately, HF STATS 2025 is an essential, data-driven call to action. It clearly outlines the growing burden of HF, persistent inequities in care and outcomes, and the urgent need for improved prevention, guideline implementation, and further research to reverse these concerning trends.