To the Editor: Levy et al. (Oct. 31 issue)1 report that theincidence of heart failure has declined among women but notamong men, whereas survival after its onset has improved inboth sexes. In an accompanying editorial, Redfield states, "Ifwe are to understand why the incidence of heart failure is changing,information about changes in the incidence and outcomes of conditionsthat cause heart failure should also be assessed."2 This iscertainly true.
Heart failure is not a disease. It is an abnormal physiologicalcondition caused by many different diseases, such as coronaryatherosclerosis, hypertension, myocarditis, valvular heart . . . [Full Text of this Article]
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