Congestive Heart Failure (CHF) - Epidemiology Forecast - 2032

DelveInsight’s ""Congestive Heart Failure (CHF) - Market Insights, Epidemiology, and Market Forecast—2032" report delivers an in-depth understanding of the CHF, historical and forecasted CHF epidemiology in the United States, EU5 (Germany, Spain, Italy, France, and United Kingdom) and Japan.

Geography Covered
The United States
EU5 (Germany, France, Italy, Spain, and the United Kingdom)
Japan

Study Period: 2019-2032

CHF Disease Understanding

Heart Failure (HF) is also known as congestive HF. It is also bifurcated as left-side HF (when the heart is unable to pump enough oxygen in the blood to the body) and right- side HF (when the heart is unable to fill itself with enough blood). Another term for HF is cor pulmonale which means that right-side HF is caused by high blood pressure in the pulmonary arteries and right ventricle. Some people face the problem of HF when the heart has trouble pumping enough blood to support other organs in the body. Some people have a hardening and stiffening of the heart muscle themself, which blocks or reduces blood flow towards the heart. HF initially causes the shortness of breath and fatigue (tiredness) and the right-side may further cause fluid to build up in the feet, ankles, legs, liver, abdomen, and the veins in the neck.

The body depends on the heart to pump and deliver oxygen and nutrient-rich blood to every cell. When the cells are nourished accurately, the body gains the ability to work normally. With HF, the weakened heart is not able to supply nutrients to the cells with enough blood which results in fatigue and shortness of breath and some people coughing.

HF is triggered by structural and functional limitations in the myocardium resulting in damage of ventricular filling or the ejection of blood by the heart. The most common cause for HF is lowering of the left ventricular myocardial utility along with the dysfunction of pericardium, myocardium, endocardium, heart valves or large vessels alone or in the combination. Some of the major pathogenic mechanisms leading to HF are excessive neurohumoral stimulation, irregular myocyte calcium cycling, augmented hemodynamic overload, ischemic dysfunction, ventricular remodeling, extreme or inadequate production of the extracellular matrix, enhanced apoptosis and genetic mutations.

The signs and symptoms of HF are subtle at the initial stage, and these are generally misguided for common signs of aging. The common symptoms of HF are because of the extra fluid or congestion which leads to blocking of the vessels. The starting of the congestion in the lungs is carry forwarded to the different parts of the body.

Patients with heart failure can present with a challenging array of comorbid medical conditions. GPs have an important role in recognizing and managing these, to ensure that heart failure therapies are not compromised and that only necessary medications are prescribed.

CHF Epidemiology

The CHF epidemiology division provides insights about historical and current CHF patient pool and forecasted trends for every seven major countries. It helps to recognize the causes of current and forecasted trends by exploring numerous studies and views of key opinion leaders. This part of the DelveInsight report also provides the diagnosed patient pool and their trends along with assumptions undertaken.

Key Findings

The disease epidemiology covered in the report provides historical as well as forecasted CHF epidemiology [segmented as total prevalent cases of CHF, total diagnosed prevalent cases of CHF, age-specific prevalence of CHF, gender-specific cases of CHF, NYHA class-specific diagnosed prevalent cases of CHF, diagnosed prevalent cases of Heart Failure with Ejection Fraction cases of CHF and diagnosed prevalent cases of Heart Failure associated with comorbidities cases of CHF in the 7MM covering the United States, EU5 countries (Germany, France, Italy, Spain, and the United Kingdom), and Japan from 2019 to 2032.

Country Wise CHF Epidemiology

Estimates show that the highest cases of CHF in the 7MM were in the United States, followed by Japan, Germany, the United Kingdom, Italy, France, and Spain in the year 2021.
The total prevalent cases of Heart Failure in 2021 in the 7MM were estimated to be 16,630,560, out of which the highest prevalent cases of this disease were seen in the United States i.e. 6,543,570.
As per the DelveInsight analysis, the total diagnosed prevalent cases of HF in Japan were found to be 894,093 cases in 2021 which are expected to increase during the study period.
According to the analysis, in 2021, the estimated cases of HF were 2,512,731 in males and 2,722,125 in females in the US
In 2021, the United States accounted for 157,569, 261,743, 729,215, 1,204,017, 1,630,259 and 1,252,053 for the age group <44 years, 45-54 years, 55-64 years, 65-74 years, 75-84 years and ≥85 years.
In 2021, the estimated cases of Heart failure with preserved and medium ejection fraction (HFpEF and HFmEF) and Heart failure with reduced ejection fraction (HFrEF) were 3,140,914 and 2,093,942 respectively in the US.
There were 2,669,777, 1,533,813, 523,486, and 523,486 cases respectively, of NHYA-class I, class II, class III and class IV, in the US in 2021.
As per the estimates in 2021, 3,891,069, 2,268,263, 1,005,092, 1,648,980, 1,609,718, 3,140,914 and 2,093,942 cases were observed in Hypertension, Diabetes Mellitus, Chronic Kidney Disease, Atrial Fibrillation, COPD, Ischemic heart disease and dilated cardiomyopathy.
The total diagnosed prevalent cases of HF in EU5 were found to be 6,671,149 cases in 2021. Among the EU5 countries, the highest diagnosed prevalent cases of Heart Failure was found to be in Germany with 2,258,512 cases, followed by Spain with 1,305,726 cases in 2021. On the other hand, the UK had the least diagnosed prevalent cases of Heart Failure, with 741,205 cases in 2021. These numbers are expected to increase during the study period (2019-2032).
As per DelveInsight estimates, Japan accounted for 1,192,124 prevalent cases of CHF in 2021.

Scope of the Report
The report covers the descriptive overview of CHF, explaining its causes, signs and symptoms, pathophysiology, and diagnosis.
Comprehensive insight has been provided into the CHF epidemiology in the 7MM
A detailed review of CHF market; historical and forecasted is included in the report, covering drug outreach in the 7MM
The report provides an edge while developing business strategies, by understanding trends shaping and driving the global CHF market

Report Highlights
In the coming years, CHF market is set to change due to the rising awareness of the disease, and incremental healthcare spending across the world; which would expand the size of the market to enable the drug manufacturers to penetrate more into the market
The companies and academics are working to assess challenges and seek opportunities that could influence CHF R&D. The therapies under development are focused on novel approaches to treat/improve the disease condition
Major players are involved in developing therapies for CHF. Launch of emerging therapies will significantly impact the CHF market
A better understanding of disease pathogenesis will also contribute to the development of novel therapeutics for CHF
Our in-depth analysis of the pipeline assets across different stages of development (Phase III and Phase II), different emerging trends and comparative analysis of pipeline products with detailed clinical profiles, key cross-competition, launch date along with product development activities will support the clients in the decision-making process regarding their therapeutic portfolio by identifying the overall scenario of the research and development activities

CHF Report Insights
Patient Population
Therapeutic Approaches
CHF Pipeline Analysis
CHF Market Size and Trends
Market Opportunities
Impact of upcoming Therapies

CHF Report Key Strengths
11 Years Forecast
7MM Coverage
CHF Epidemiology Segmentation
Key Cross Competition
Highly Analyzed Market
Drugs Uptake

CHF Report Assessment
Disease Understanding
Current Diagosis Practices and Guidelines
Epidemiology Trends

Key Questions

Epidemiology Insights:
What is the disease risk, burden and regional/ethnic differences of the CHF?
What are the key factors driving the epidemiology trend for seven major markets covering the United States, EU5 (Germany, Spain, France, Italy, UK), and Japan?
What is the historical CHF patient pool in seven major markets covering the United States, EU5 (Germany, Spain, France, Italy, UK), and Japan?
What would be the forecasted patient pool of CHF in seven major markets covering the United States, EU5 (Germany, Spain, France, Italy, UK), and Japan?
Where will be the growth opportunities in the 7MM with respect to the patient population pertaining to CHF?
Out of all CHF countries, which country would have the highest prevalent population of CHF during the forecast period (2019-2032)?
At what CAGR the patient population is expected to grow in 7MM during the forecast period (2019-2032)?

Reasons to buy
The report will help in developing business strategies by understanding trends shaping and driving the CHF market
To understand the future market competition in the CHF market and Insightful review of the key market drivers and barriers
Organize sales and marketing efforts by identifying the best opportunities for CHF in the US, Europe (Germany, Spain, Italy, France, and the United Kingdom) and Japan
Identification of strong upcoming players in the market will help in devising strategies that will help in getting ahead of competitors
Organize sales and marketing efforts by identifying the best opportunities for CHF market
To understand the future market competition in the CHF market


1. Key Insights
2. Report Introduction
3. Executive Summary
4. Key Events
5. SWOT Analysis
6. Congestive Heart Failure (CHF) Epidemiology Overview at a Glance
6.1. Patient Share (%) Distribution of CHF by therapies in 2022
6.2. Patient Share (%) Distribution of CHF by therapies in 2032
7. Disease Background and Overview
7.1. Introduction
7.2. Causes of HF
7.3. Signs and Symptoms
7.4. Stages of HF
7.4.1. Stage A
7.4.2. Stage B
7.4.3. Stage C
7.4.4. Stage D and reduced E
7.5. Classification of HF
7.6. Common pathophysiologic mechanisms in HF
7.6.1. Structural Heart Disease and Mechanical Stress: Pressure/Volume Overload
7.6.2. Neurohormonal Dysregulation
7.6.3. Ischemic Injury: Replacement Fibrosis and Hibernating Myocardium
7.6.4. Abnormal Intracellular Calcium Handling
7.6.5. Genetic Mutations
7.6.6. Biomarkers for the HF
7.7. Diagnosis
7.7.1. Medical and Family Histories
7.8. Diagnostic Tests
7.8.1. EKG (Electrocardiogram)
7.8.2. Chest x-ray
7.8.3. Echocardiography
7.8.4. Doppler Ultrasound
7.8.5. Holter Monitor
7.8.6. Nuclear Heart Scan
7.8.7. Cardiac Catheterization
7.8.8. Coronary Angiography
7.8.9. Stress Test
7.8.10. Cardiac MRI
7.9. Differential Diagnosis
8. Heart Failure with Preserved Ejection Fraction: Diagnosis and Management (2017)
9. ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure (2021)
10. JCS/JHFS 2021 Guideline Focused Update on Diagnosis and Treatment of Acute and Chronic Heart Failure (Update From 2017)
11. American College of Cardiology (ACC), American Heart Association (AHA), and HF Society of America (HFSA) (2021)
12. Chronic Heart Failure in Adults: Diagnosis and Management (NICE Guidelines 2018)
13. Acute heart failure: Diagnosis And Management (NICE Guidelines 2014)
14. Epidemiology and Patient Population
14.1. Key Findings
14.2. Epidemiology Methodology
14.3. 7MM Prevalent Patient Population of Heart Failure
14.4. Total Diagnosed Prevalent Patient Population of Heart Failure in the 7MM
15. Country Wise-Epidemiology of HF
15.1. The United States
1
5.1.1. Assumptions and Rationale
15.1.2. Prevalent Population of Heart Failure in the United States
15.1.3. Diagnosed Prevalent Population of Heart Failure in the United States
15.1.4. Gender-specific diagnosed prevalent cases of Heart Failure in the United States
15.1.5. Age-specific diagnosed prevalent cases of Heart Failure in the United States
15.1.6. NYHA class-specific diagnosed prevalent cases in the United States
15.1.7. Diagnosed prevalent cases of Heart Failure with Ejection Fraction in the United States
15.1.8. Diagnosed Prevalent cases of Heart Failure associated with comorbidities in the United States
15.2. EU5
15.2.1. Assumptions and Rationale
15.2.2. Prevalent Population of Heart Failure in the EU5
15.2.3. Diagnosed Prevalent Population of Heart Failure in the EU5
15.2.4. Gender-specific diagnosed prevalent cases of Heart Failure in the EU5
15.2.5. Age-specific diagnosed prevalent cases of Heart Failure in theEU5
15.2.6. NYHA class-specific diagnosed prevalent cases in the EU5
15.2.7. Diagnosed prevalent cases of Heart Failure with Ejection Fraction in the EU5
15.2.8. Diagnosed Prevalent cases of Heart Failure associated with comorbidities in the EU5
15.3. Japan
15.3.1. Assumptions and Rationale
15.3.2. Prevalent Population of Heart Failure in Japan
15.3.3. Diagnosed Prevalent Population of Heart Failure in Japan
15.3.4. Gender-specific diagnosed prevalent cases of Heart Failure in Japan
15.3.5. Age-specific diagnosed prevalent cases of Heart Failure in Japan
15.3.6. NYHA class-specific diagnosed prevalent cases in Japan
15.3.7. Diagnosed prevalent cases of Heart Failure with Ejection Fraction in Japan
15.3.8. Diagnosed Prevalent cases of Heart Failure associated with comorbidities in Japan
16. Organizations contributing towards CHF
17. Appendix
17.1. Bibliography
17.2. Report Methodology
18. DelveInsight Capabilities
19. Disclaimer
20. About DelveInsight
Table 1: Summary of Congestive Heart Failure Epidemiology (2019–2032)
Table 2: Key Events
Table 3: HF Classification based on the New York Heart Association
Table 4: HF Classification based on the New York Heart Association
Table 5: HF Classification based on the American College of Cardiology
Table 6: Shift along the Frank-Starling Curve and Its Causes
Table 7: Characteristics of Other Biomarkers for HF
Table 8: Different test for the estimation of the HF
Table 9: Total Prevalent Patient Population of Heart Failure in the 7MM (2019–2032)
Table 10: Total Diagnosed Prevalent Patient Population of Heart Failure in the 7MM (2019–2032)
Table 11: Prevalent Population of Heart Failure in the United States (2019–2032)
Table 12: Diagnosed Prevalent Population of Heart Failure in the United States (2019–2032)
Table 13: Gender-specific diagnosed prevalent cases of Heart Failure in the United States (2019–2032)
Table 14: Age-specific diagnosed prevalent cases of Heart Failure in the United States (2019–2032)
Table 15: NYHA class-specific diagnosed prevalent cases in the United States (2019–2032)
Table 16: Diagnosed prevalent cases of Heart Failure with Ejection Fraction in the United States (2019–2032)
Table 17: Diagnosed Prevalent cases of Heart Failure associated with comorbidities in the United States (2019–2032)
Table 18: Prevalent Population of Heart Failure in EU5 (2019–2032)
Table 19: Diagnosed Prevalent Population of Heart Failure in EU5 (2019–2032)
Table 20: Gender-specific diagnosed prevalent cases of Heart Failure in EU5 (2019–2032)
Table 21: Age-specific diagnosed prevalent cases of Heart Failure in EU5 (2019–2032)
Table 22: NYHA class-specific diagnosed prevalent cases in EU5 (2019–2032)
Table 23: Diagnosed prevalent cases of Heart Failure with Ejection Fraction in EU5 (2019–2032)
Table 24: Diagnosed Prevalent cases of Heart Failure associated with comorbidities in EU5 (2019–2032)
Table 27: Prevalent Population of Heart Failure in Japan (2019–2032)
Table 28: Diagnosed Prevalent Population of Heart Failure in Japan (2019–2032)
Table 29: Gender-specific diagnosed prevalent cases of Heart Failure in Japan (2019–2032)
Table 30: Age-specific diagnosed prevalent cases of Heart Failure in Japan (2019–2032)
Table 31: NYHA class-specific diagnosed prevalent cases in Japan (2019–2032)
Table 32: Diagnosed prevalent cases of Heart Failure with Ejection Fraction in Japan (2019–2032)
Table 33: Diagnosed Prevalent cases of Heart Failure associated with comorbidities in Japan (2019–2032)
Table 34: Organizations Contributing Toward the Fight Against Congestive Heart Failure (CHF)
Figure 1: Different Condition in HF
Figure 2: Stages of HF
Figure 3: Symptoms of HF
Figure 4: Different Classes of Drug
Figure 5: Total Prevalent Patient Population of Heart Failure in the 7MM (2019–2032)
Figure 6: Total Diagnosed Prevalent Patient Population of HF in the 7MM (2019-2032).
Figure 7: Prevalent Population of Heart Failure in the United States (2019–2032)
Figure 8: Diagnosed Prevalent Population of Heart Failure in the United States (2019–2032)
Figure 9: Gender-specific diagnosed prevalent cases of HF in the United States (2019–2032)
Figure 10: Age-specific diagnosed prevalent cases of Heart Failure in the United States (2019–2032)
Figure 11: NYHA class-specific diagnosed prevalent cases in the United States (2019–2032)
Figure 12: Diagnosed prevalent cases of Heart Failure with Ejection Fraction in the US (2019–2032)
Figure 13: Diagnosed Prevalent cases of HF associated with comorbidities in the US (2019–2032)
Figure 14: Prevalent Population of Heart Failure in EU5 (2019–2032)
Figure 15: Diagnosed Prevalent Population of Heart Failure in EU5 (2019–2032)
Figure 16: Gender-specific diagnosed prevalent cases of Heart Failure in EU5 (2019–2032)
Figure 17: Age-specific diagnosed prevalent cases of Heart Failure in EU5 (2019–2032)
Figure 18: NYHA class-specific diagnosed prevalent cases in EU5 (2019–2032)
Figure 19: Diagnosed prevalent cases of Heart Failure with Ejection Fraction in EU5 (2019–2032)
Figure 20: Diagnosed Prevalent cases of HF associated with comorbidities in EU5(2019–2032)
Figure 21: Prevalent Population of Heart Failure in Japan (2019–2032)
Figure 22: Diagnosed Prevalent Population of Heart Failure in Japan (2019–2032)
Figure 23: Gender-specific diagnosed prevalent cases of Heart Failure in Japan (2019–2032)
Figure 24: Age-specific diagnosed prevalent cases of Heart Failure in Japan (2019–2032)
Figure 25: NYHA class-specific diagnosed prevalent cases in Japan (2019–2032)
Figure 26: Diagnosed prevalent cases of Heart Failure with Ejection Fraction in Japan (2019–2032)
Figure 27: Diagnosed Prevalent cases of HF associated with comorbidities in Japan (2019–2032)

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