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Background <p>Heart failure (HF) is a major public health concern in China, but there is a lack of epidemiological data on the prevalence of early-stage HF in the elderly.</p> Objectives <p>This study aimed to evaluate the prevalence of different stages of HF in individuals aged ≥ 60 years in a community-based survey.</p> Methods <p>This cross-sectional study enrolled 7,640 participants from a community. Basic demographic information, NT-proBNP, troponin T (TnT) levels, and echocardiographic data were collected. Participants were classified into four stages: Healthy, Stage A, Stage B, and Stage C. Prevalence and associated risk factors were analyzed.</p> Results <p>The mean age was 70.2 years, with 54.5% being female. The prevalence of Stage A and B was 44.0% and 27.8%, respectively. In Stage A, hypertension was the most common risk factor (80.89%), followed by diabetes (29.75%) and obesity (18.08%). In Stage B and C, 97.2% and 88.2% had an ejection fraction ≥ 50%. The prevalence of Stage B increased with age (<i>P</i> &lt; 0.001), and women had higher prevalence of Stage B compared to men (29.69% vs. 25.65%, <i>P</i> &lt; 0.001). Female gender (OR 1.352, <i>P</i> &lt; 0.001), older age (OR 1.096, <i>P</i> &lt; 0.001), atrial fibrillation/flutter (OR 2.853, <i>P</i> &lt; 0.001), and coronary artery disease (OR 1.473, <i>P</i> &lt; 0.001) were identified as significant risk factors for Stage B.</p> Conclusions <p>This survey revealed a high prevalence of Stage A and B HF in the elderly, with most Stage B individuals having an ejection fraction ≥ 50%, emphasizing the need for targeted prevention and management strategies for at-risk groups.</p>

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Prevalence of heart failure stages in elderly population: from a community-dwelling elderly people survey

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月18日

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  • Manyun Huang,
  • Min Wang,
  • Xin Gong,
  • Sibin Guan,
  • Hao Hu,
  • Xiaoling Xi,
  • Chenying Zhu,
  • Qingliu Zhang,
  • Jianhong Cao,
  • Wei Han

摘要

Background

Heart failure (HF) is a major public health concern in China, but there is a lack of epidemiological data on the prevalence of early-stage HF in the elderly.

Objectives

This study aimed to evaluate the prevalence of different stages of HF in individuals aged ≥ 60 years in a community-based survey.

Methods

This cross-sectional study enrolled 7,640 participants from a community. Basic demographic information, NT-proBNP, troponin T (TnT) levels, and echocardiographic data were collected. Participants were classified into four stages: Healthy, Stage A, Stage B, and Stage C. Prevalence and associated risk factors were analyzed.

Results

The mean age was 70.2 years, with 54.5% being female. The prevalence of Stage A and B was 44.0% and 27.8%, respectively. In Stage A, hypertension was the most common risk factor (80.89%), followed by diabetes (29.75%) and obesity (18.08%). In Stage B and C, 97.2% and 88.2% had an ejection fraction ≥ 50%. The prevalence of Stage B increased with age (P < 0.001), and women had higher prevalence of Stage B compared to men (29.69% vs. 25.65%, P < 0.001). Female gender (OR 1.352, P < 0.001), older age (OR 1.096, P < 0.001), atrial fibrillation/flutter (OR 2.853, P < 0.001), and coronary artery disease (OR 1.473, P < 0.001) were identified as significant risk factors for Stage B.

Conclusions

This survey revealed a high prevalence of Stage A and B HF in the elderly, with most Stage B individuals having an ejection fraction ≥ 50%, emphasizing the need for targeted prevention and management strategies for at-risk groups.