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Burden and Temporal Trends of Valvular Heart Disease-Related Heart Failure From 1990 to 2019 and Projection Up to 2030 in Group of 20 Countries: An Analysis for the Global Burden of Disease Study 2019.

J Am Heart Assoc · 2024 · PMC11935581 · PMID 39392160

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a decreasing trendno p-value reported
Age‐standardized prevalence rates of nonrheumatic VHD‐related HF showed a decreasing trend, more pronounced in women, whereas rheumatic VHD‐related HF increased in both sexes, with a lower increase in men.

also in 47,180 other papers

an increasing trendno p-value reported
From 1990 to 2019, among G20 countries, 11 nations showed an increasing trend in ASPRs of NRVHD‐related HF.

also in 63,971 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.