Epidemiology of @entity712 : the prevalence of @entity712 and XXXX in older adults over time. A systematic review.

@entity1 @entity712 @entity299 @entity67 @entity1002
The 'epidemic' of @entity712 seems to be changing, but precise prevalence estimates of @entity712 and @entity1002 ( @entity1002 ) in older adults, based on adequate echocardiographic assessment, are scarce. Systematic reviews including recent studies on the prevalence of @entity712 and @entity1002 are lacking. We aimed to assess the trends in the prevalence of @entity1002 , and @entity712 with reduced (HFrEF) and preserved ejection fraction (HFpEF) in the older population at large. A systematic electronic search of the databases Medline and Embase was performed. Studies that reported prevalence estimates in community-dwelling @entity1 >= 60   years old were included if echocardiography was used to establish the diagnosis. In total, 28 articles from 25 different study populations were included. The median prevalence of systolic and 'isolated' diastolic @entity1002 was 5.5% (range 3.3-9.2%) and 36.0% (range 15.8-52.8%), respectively. A peak in @entity299 prevalence seems to have occurred between 1995 and 2000. 'All type' @entity712 had a median prevalence rate of 11.8% (range 4.7-13.3%), with fairly stable rates in the last decade and with HFpEF being more common than HFrEF [median prevalence 4.9% (range 3.8-7.4%) and 3.3% (range 2.4-5.8%), respectively]. Both @entity1002 and @entity712 remain common in the older population at large. The prevalence of @entity67 is on the rise and currently higher than that of @entity299 . The prevalence of the latter seems to have decreased in the 21st century.
