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Secular Trends in Prevalence of Heart Failure Diagnosis over 20 Years (from the US NHANES)

      Heart failure (HF) is a well-recognized global public health problem with a diverse natural history and negative quality-of-life effects.
      • Nayak A
      • Hicks AJ
      • Morris AA.
      Understanding the complexity of heart failure risk and treatment in black patients.
      The definition of HF has also changed, covering an increasingly broad clinical condition and phenotypic spectrum of patients.
      • Murphy SP
      • Ibrahim NE
      • Januzzi Jr., JL
      Heart failure with reduced ejection fraction: a review.
      Previous projections suggested a substantial increase in HF prevalence by the year 2030 for patients of all ages
      • Heidenreich PA
      • Albert NM
      • Allen LA
      • Bluemke DA
      • Butler J
      • Fonarow GC
      • Ikonomidis JS
      • Khavjou O
      • Konstam MA
      • Maddox TM
      • Nichol G
      • Pham M
      • Piña IL
      • Trogdon JG
      American Heart Association Advocacy Coordinating Committee, Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular Radiology and Intervention; Council on Clinical Cardiology; Council on Epidemiology and Prevention, Stroke Council
      Forecasting the impact of heart failure in the United States: a policy statement from the American Heart Association.
      and increasing trends of predicted risk for HF development.
      • Glynn PA
      • Ning H
      • Bavishi A
      • Freaney PM
      • Shah S
      • Yancy CW
      • Lloyd-Jones DM
      • Khan SS
      Heart failure risk distribution and trends in the United States population, NHANES 1999–2016.
      However, it is unknown to what extent the evolution of definition criteria, availability of effective prevention strategies, improved survival rates, aging of populations, and changes in epidemiology of cardiovascular risk factors and coronary heart disease (CHD) over the last 20 years have affected HF prevalence in the United States. We examined secular trends in a serial cross-sectional study cohort of the US National Health and Nutrition Examination Survey (NHANES).

      Centers for Disease Control and Prevention. National health and nutrition examination survey. Available at: https://www.cdc.gov/nchs/nhanes/about_nhanes.htm. Accessed February 9, 2022.

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        Understanding the complexity of heart failure risk and treatment in black patients.
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        Heart failure with reduced ejection fraction: a review.
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        • Maddox TM
        • Nichol G
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        • Piña IL
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