Heart failure & cardiomyopathiesCohort study

Heart Failure Treatment in the Last Years of Life: A Nationwide Study of 364 000 Individuals

Eur J Heart FailPublished

  • Nationwide cohort study
  • whole Swedish population

Authors' conclusion

In patients with heart failure, a changing pattern of medical treatment during the last years of life was observed, most notably with an increasing use of beta blockers.

Study context

Population
HF patients who died in Sweden between 1 July 2007 and 31 December 2020
Participants
364,480 patients
Outcome
Change over time in HF treatment patterns up to 5 years prior to death
Follow-up
Up to 5 years prior to death

Main finding

As reported in the abstract

  • Use of all HF treatments decreased gradually closer to death
  • Discontinuation rate of beta blockers decreased over time, with an increasing proportion on treatment at death

Observational data: associations, not effects.

Original publication

Heart Failure Treatment in the Last Years of Life: A Nationwide Study of 364 000 Individuals. Eur J Heart Fail. Published 31 August 2024. doi:10.1002/ejhf.3426

Summarised from the published abstract; every number is checked against it