WRITING COMMITTEE MEMBERS* Biykem Bozkurt, MD, PhD (Chair) Tariq Ahmad, MD, MPH Kevin Alexander, MD William L. Baker, PharmD Kelly Bosak, PhD, APRN Khadijah Breathett, MD, MS Spencer Carter, MD Mark H. Drazner, MD, MSc Shannon M. Dunlay, MD MS Gregg C. Fonarow, MD Stephen J. Greene, MD Paul Heidenreich, MD Jennifer E. Ho, MD Eileen Hsich, MD Nasrien E. Ibrahim, MD Lenette M. Jones, PhD, RN Sadiya S. Khan, MD, MSc Prateeti Khazanie, MD, MPH Todd Koelling, MD Christopher S. Lee, RN, PhD Alanna A. Morris, MD, MSc Robert L. Page II, PharmD Ambarish Pandey, MD Mariann R. Piano, RN, PhD Alexander T. Sandhu, MD, MS Josef Stehlik, MD, MPH Lynne W. Stevenson, MD John Teerlink, MD Amanda R. Vest, MBBS MPH Clyde Yancy, MD Boback Ziaeian, MD, PhD Keywords: Heart Failure, Epidemiology, Prevalence, Incidence, Mortality, Outcomes, Hospitalizations, St

J Card Fail. 2024 DOI: https://doi.org/10.1016/j.cardfail.2024.07.001
Published September 2024

Supporting Materials

Top 10 Takeaways

1. Approximately 6.7 million Americans over 20 years of age have heart failure (HF), and the prevalence is expected to rise to 8.7 million in 2030,10.3 million in 2040, and 11.4 million by 2050. 
2. The lifetime risk of HF has increased to 24%; approximately 1 in 4 persons will develop HF in their lifetime. 
3. The proportion of younger patients with HF is increasing compared to the proportion of older patients. 
4. Approximately one-third of the adult population in the United States (US) is at risk for HF (Stage A), and 24-34% of the US population has pre-HF (Stage B). The risk of developing HF has increased in individuals with obesity, hypertension, and clusters of comorbidities. 
5. The incidence and prevalence of HF is higher among Black individuals compared with other racial and ethnic groups. The prevalence of HF has increased among Black and Hispanic individuals over time. 
6. HF mortality rates have been increasing since 2012 with a more pronounced acceleration in 2020-2021. The age-adjusted HF mortality rates were higher in 2021 than in 1999. HF was a contributing cause in approximately 425,147 deaths and accounted for 45% of cardiovascular deaths in the US in 2021. 
7. Black, American Indian, and Alaskan Native individuals have the highest all-cause age-adjusted HF mortality rates compared with other racial and ethnic groups. From 2010 to 2020, HF mortality rates have increased for Black individuals at a rate higher than any other racial or ethnic group, particularly for individuals below the age of 65. 
8. A greater relative annual increase in HF-related mortality rates has been noted for younger (35-64 years) compared with older (65-84 years) adults. 
9. Highest HF death rates have been reported in the Midwest, Southeast, and Southern states. Rural areas demonstrate higher HF mortality rates for both younger and older age groups compared with urban areas. 
10. Rates of HF hospitalizations have increased since 2014. This increase was consistent between age groups and sexes, with the highest rates being among Black patients. Between 2020-2022, HF hospitalization rates were temporarily reduced during COVID-19 pandemic. 

Press Release

Cardiology Experts Warn of Rising Heart Failure Rates and Worsening Disparities in New 2024 Report

Shocking Increase in Heart Failure Prevalence, Mortality, and Impact on Younger Patients   

WASHINGTON, DC (SEPTEMBER 24, 2024) – The latest findings on heart failure (HF) published by Heart Failure Society of America (HFSA) reveal a concerning rise in the prevalence, mortality, and impact of this debilitating condition in the United States. According to the HF Stats 2024: Heart Failure Epidemiology and Outcomes Statistics, approximately 6.7 million Americans over the age of 20 currently live with heart failure, a figure projected to rise to 8.7 million by 2030, 10.3 million by 2040, and a staggering 11.4 million by 2050. The report was published today in the Journal of Cardiac Failure (JCF). 
 
This year’s findings underscore some of the most alarming trends seen in heart failure in recent years. While HF rates have steadily increased over the last decade, the 2024 report shows that the problem is growing even more severe, particularly in younger populations, racial and ethnic minority groups, and those with multiple health conditions.