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Author : Prof. DR. dr. Budhi Setianto, SpJP
Kamis, 25 September 2008 09:04:43
Dept. Cardiology and Vascular Medicine, University of Indonesia National Cardiovascular Center Harapan Kita
“Heart failure isn’t a death sentence”.
“Gagal Jantung bukanlah suatu hukuman mati”
(Larry King)

CONGESTIVE HEART FAILURE is a major burden on the community, due to the costs of care and the poor quality of life and premature death of affected people. The prevalence of heart failure is increasing because of the aging of the population and the improved survival of people experiencing myocardial infarction and heart failure. Moreover, the increasing prevalence of overweight, obesity and diabetes is likely to accelerate the incidence of heart failure. Strategies to reduce the incidence of heart failure will have the additional benefit of reducing the incidence of coronary heart disease, stroke, peripheral vascular disease, diabetes and renal disease.

AWARENESS. The Heart Failure Society of America’s (HFSA) campaign to increase public awareness of the risks and symptoms of heart failure culminated in the first national Heart Failure Awareness Week, February 14-19, 2000. Following passage of a United States Senate resolution proclaiming Heart Failure Awareness Week, the HFSA’s national press teleconference on Monday, February 14, kicked off the week of extensive activities that featured numerous local programs throughout the country. These events – designed to educate health professionals as well as members of the general public about the symptoms, risk factors, and treatment options – included grand rounds, symposia, continuing medical education
The survey in Europe, as part of the SHAPE program, indicates that the awareness of most aspects of HF in the general population in Europe is low. There are clear misconceptions for the nature, severity, treatment options, and costs. Under these conditions, the general public is unlikely to demand appropriate measures by healthcare authorities and providers.
Strategies to educate the general public about the importance of HF are needed. A better understanding of HF in the community could lead to better funding of HF healthcare and research, and generally should further improve the prevention and management of HF in Europe.

MANAGEMENT. As prevention strategies of hypertension and myocardial infarction together account for about three-quarters of the population-attributable risk of heart failure, and both are largely preventable with currently available strategies. Other preventable contributors to heart failure include obesity, diabetes, atrial fibrillation, sleep apnea and renal disease.
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