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A multinational registry to study the characteristics and outcomes of heart failure patients: The global congestive heart failure (G-CHF) registry - 25/08/20

Doi : 10.1016/j.ahj.2020.06.002 
Philip Joseph, MD a, , Hisham Dokainish, MD a, Tara McCready, PhD, MBA a, Andrzej Budaj, MD, PhD b, Ambuj Roy, MD c, Georg Ertl, MD d, Juan Esteban Gomez-Mesa, MD e, Darryl Leong, MBBS, MPH, PhD a, Justin Ezekowitz, MBBCh, MSc f, Camilla Hage, RN, PhD g, h, Fernando Lanas, MD, PhD i, Aldo P. Maggioni, MD j, Karen Sliwa, MD, PhD k, Jun Zhu, MD l, Jean Rouleau, MD m, Kumar Balasubramanian, MSc a, Salim Yusuf, DPhil a, n
on behalf of the

G-CHF Investigators

a Population Health Research Institute, McMaster University and Hamilton Health Sciences, Hamilton, Ontario, Canada 
b Centre of Postgraduate Medical Education, Department of Cardiology, Grochowski Hospital, Warsaw, Poland 
c Department of Cardiology, All India Institute of Medical Sciences, New Delhi, Delhi, India 
d Comprehensive Heart Failure Center, University Hospital, Würzburg, Germany 
e Fundación Valle Del Lili, Department of Cardiology and Universidad Icesi, Cali, Colombia 
f Faculty of Medicine and Dentistry, University of Alberta Canadian VIGOUR Center, University of Alberta, Edmonton, Alberta, Canada 
g Karolinska Institutet, Department of Medicine, Cardiology unit, Stockholm, Sweden 
h Karolinska University hospital, Heart and Vascular Theme, Heart Failure section, Stockholm, Sweden 
i Universidad de La Frontera, Temuco, Chile 
j ANMCO Research Center, Associazione Nazionale Medici Cardiologi Ospedalieri, Florence, Italy 
k Hatter Institute for Cardiovascular Research in Africa, Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa 
l FuWai Hospital, Beijing, China 
m Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada 
n Department of Health Research Methods, Evidence, and Impact, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada 

Reprint requests: Philip Joseph, Population Health Research Institute, McMaster University, 237 Barton St E, Hamilton, Ontario, Canada L8L 2X2.Population Health Research Institute, McMaster University237 Barton St EHamiltonOntarioL8L 2X2Canada

Aims

The goal of the global congestive heart failure (G-CHF) registry is to collect comparative international data on heart failure characteristics, management, and outcomes and to better understand the determinants that impact the clinical course of heart failure.

Methods

G-CHF is a multicenter, prospective cohort study of adult patients with a new or prior clinical diagnosis of heart failure. We have enrolled 23,047 participants from 257 centers in 40 countries from 8 major geographic regions of the world, with recruitment ongoing. Approximately 4,000 participants will also participate in substudies to assess frailty, comorbidity, diet, barriers to care, biomarkers, and planned detailed echocardiographic analyses. Follow-up is planned for a period of 5 years. The primary outcome is cause-specific mortality. Key secondary outcomes include hospitalizations, quality of life, and major cardiovascular and noncardiovascular outcomes. A total of 31.9% of participants were enrolled as inpatients. Thus far, mean age of the cohort at baseline is 63.1 years, and 60.8% are male. Participants most commonly have heart failure with reduced ejection fraction (53.6%) followed by preserved ejection fraction (24.2%) and midrange ejection fraction (20.6%). The most common causes of heart failure are ischemic (37.8%) followed by hypertensive (20.0%), idiopathic (15.1%), and valvular disease (8.8%).

Conclusion

G-CHF will provide a greater understanding of the characteristics of the global heart failure population, variations in its management, clinical outcomes, and what continues to impact morbidity and mortality in this high-risk population.

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Mappa


 Larry A. Allen, MD, MHS, served as guest editor for this article.


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