The incidence rate of heart failure was 2- to 3-fold higher among American Indian populations than rates observed in studies focused on other population groups, such as African American, Hispanic or white adults, in a new study published today in the Journal of the American Heart Association , an open access, peer-reviewed journal of the American Heart Association. The results were calculated using a new, proposed risk prediction scale for heart failure specifically for American Indian adults. The analysis also found smoking, Type 2 diabetes status, kidney damage, previous heart attack and high blood pressure are major modifiable determinants of developing heart failure over 5 to 10 years among American Indian adults.

Implementation of our proposed risk prediction scale in clinical practice can contribute to optimized risk assessment and to the development of preventive strategies to reduce heart failure events and deaths in American Indian communities and populations with a high burden of Type 2 diabetes, which have been underrepresented in previous studies." Irene Martinez-Morata M.D.

, Ph.D., lead study author and researcher at Columbia University's Mailman School of Public Health in New York City Heart failure is a leading cause of death among people with Type 2 diabetes, and occurs at a higher rate in American Indian populations than in Black, Hispanic and white populations in the U.

S. Existing heart failure risk prediction scales may not appropriately estimate the risk o.