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Trends in modes of death in heart failure over the last two decades: Less sudden death but cancer deaths on the rise

European Journal of Heart Failure Aug 21, 2019

Moliner P, Lupón J, de Antonio M, et al. - Given that improved survival in heart failure (HF) has been reported over the past two decades because of better management, mainly due to attenuation in the incidence of death attributable to cardiovascular (CV) causes, there may be an increase in the mortality due to non-CV causes, especially cancer, therefore, researchers focused on the modes of death of consecutive patients who visited a HF clinic over 17 years. This analysis included 935 deaths among 1,876 patients (mean age 65.8 ± 12.5 years, 75% men, left ventricular ejection fraction < 50%). Findings revealed a shift in the modes of death in HF over the last two decades. Sudden death caused less mortality and non-CV causes, mainly cancer, resulted in more deaths among patients with HF. They noted a significant trend towards a progressive rise in cancer deaths over time. Lung cancer was identified as the main mode of cancer death.
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