Abstract
BackgroundHeart failure is an important cause of cardiovascular morbidity and mortality. Studies to date have not established the prevalence heart failure amongst the minority ethnic community in the UK. T'he aim of the E-ECHOES (Ethnic - Echocardiographic Heart of England Screening Study)is to establish, for the first time, the community prevalence and severity of left ventricular systolic dysfunction (LVSD) and heart failure amongst the South Asian and Black African-Caribbean ethnic groups in the UK.Methods/DesignThis is a community based cross-sectional population survey of a sample of South Asian (i.e. those originating from India, Pakistan, Bangladesh) and Black African-Caribbean male and female subjects aged 45 years and over. Data collection undertaken using a standardised protocol comprising a questionnaire incorporating targeted clinical history taking, physical examination, and investigations with resting electrocardiography and echocardiography; and blood sampling with consent. This is the largest study on heart failure amongst these ethnic groups. Full data collection started in September 2006 and will be completed by August 2009.DiscussionThe E-ECHOES study will enable the planning and delivery of clinically and cost-effective treatment of this common and debilitating condition within these communities. In addition it will increase knowledge of the aetiology and management of heart failure within minority ethnic communities.
Highlights
Heart failure is an important cause of cardiovascular morbidity and mortality
A recent estimate was that Heart failure (HF) directly accounted for 1.9% of total NHS spending in the UK, with 69% of this being on hospitalisations, and indirectly for a further equivalent of 2.0% of NHS expenditure
Recent evidence suggests that different ethnic groups may respond differently to these therapies. [1,16] HF has a very high mortality, at around 80% in men within six years of diagnosis [17], a prognosis worse than most forms of cancer
Summary
The E-ECHOES study will be the largest community study documenting for the first time community prevalence of left ventricular systolic dysfunction and heart failure amongst the South Asian and Black African-Caribbean ethnic communities. It will provide pre-existing co-morbidity data; and follow-up will enable survival from heart failure amongst these communities. It will provide the evidence base for the planning and management of this common disabling condition within the community
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