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Relatively little is known about the incidence of heart failure in younger populations. In the Coronary Artery Risk Development in Young Adults (CARDIA) study, researchers enrolled adults aged 18 to 30 to investigate the development of coronary disease during 20 years of follow-up. The present report contains the heart failure results. The subjects were recruited from Birmingham, Alabama; Chicago; Minneapolis; and Oakland, California.
Heart failure occurred in 27 of the 5115 participants. All but one of those who developed heart failure were black. At baseline, blacks who developed heart failure had higher mean systolic and diastolic blood pressures — and had a higher prevalence of hypertension — than did either blacks who did not develop he…