{"id":"https://openalex.org/W7212013334","doi":"https://doi.org/10.1016/j.jacadv.2026.103198","title":"Heart Failure Phenotypes and Trajectory by Gender Identity in a National Veteran Cohort","display_name":"Heart Failure Phenotypes and Trajectory by Gender Identity in a National Veteran Cohort","publication_year":2026,"publication_date":"2026-09-09","ids":{"openalex":"https://openalex.org/W7212013334","doi":"https://doi.org/10.1016/j.jacadv.2026.103198","pmid":"https://pubmed.ncbi.nlm.nih.gov/42720656","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13699718"},"language":"en","primary_location":{"id":"doi:10.1016/j.jacadv.2026.103198","doi":"https://doi.org/10.1016/j.jacadv.2026.103198","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jacadv.2026.103198","pdf_url":"https://www.jacc.org/doi/pdf/10.1016/j.jacadv.2026.103198?download=true","source":{"id":"https://openalex.org/S4220651314","display_name":"JACC Advances","issn_l":"2772-963X","issn":["2772-963X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Advances","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.jacc.org/doi/pdf/10.1016/j.jacadv.2026.103198?download=true","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5053975121","display_name":"Ian Everitt","orcid":"https://orcid.org/0000-0002-9941-438X","observed_orcids":["https://orcid.org/0000-0002-9941-438X"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ian K. Everitt","raw_affiliation_strings":["Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"],"raw_orcid":"https://orcid.org/0000-0002-9941-438X","affiliations":[{"raw_affiliation_string":"Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034011983","display_name":"Meredith S. Duncan","orcid":"https://orcid.org/0000-0001-6922-8503","observed_orcids":["https://orcid.org/0000-0001-6922-8503"]},"institutions":[{"id":"https://openalex.org/I143302722","display_name":"University of Kentucky","ror":"https://ror.org/02k3smh20","country_code":"US","type":"education","lineage":["https://openalex.org/I143302722"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Meredith S. Duncan","raw_affiliation_strings":["Department of Biostatistics, University of Kentucky, Lexington, Kentucky, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, University of Kentucky, Lexington, Kentucky, USA","institution_ids":["https://openalex.org/I143302722"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005811954","display_name":"Kory Heier","orcid":"https://orcid.org/0009-0005-4174-9709","observed_orcids":["https://orcid.org/0009-0005-4174-9709"]},"institutions":[{"id":"https://openalex.org/I143302722","display_name":"University of Kentucky","ror":"https://ror.org/02k3smh20","country_code":"US","type":"education","lineage":["https://openalex.org/I143302722"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kory R. Heier","raw_affiliation_strings":["Department of Biostatistics, University of Kentucky, Lexington, Kentucky, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, University of Kentucky, Lexington, Kentucky, USA","institution_ids":["https://openalex.org/I143302722"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065389112","display_name":"Lauren Brittany Beach","orcid":"https://orcid.org/0000-0003-3302-5047","observed_orcids":["https://orcid.org/0000-0003-3302-5047"]},"institutions":[{"id":"https://openalex.org/I111979921","display_name":"Northwestern University","ror":"https://ror.org/000e0be47","country_code":"US","type":"education","lineage":["https://openalex.org/I111979921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lauren B. Beach","raw_affiliation_strings":["Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA","institution_ids":["https://openalex.org/I111979921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034202539","display_name":"Guneet Kaur Jasuja","orcid":"https://orcid.org/0000-0003-0017-9584","observed_orcids":["https://orcid.org/0000-0003-0017-9584"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1322918889","display_name":"United States Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889"]},{"id":"https://openalex.org/I4210095851","display_name":"VA New England Healthcare System","ror":"https://ror.org/00s61s029","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210095851"]},{"id":"https://openalex.org/I4405272782","display_name":"Center for Health Optimization and Implementation Research","ror":"https://ror.org/04q2rbm50","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405272782"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Guneet K. Jasuja","raw_affiliation_strings":["Center for Health Optimization & Implementation Research, US Department of Veterans Affairs, VA Bedford Health Care System, Bedford, Massachusetts, USA; Department of Medicine, Section of General Internal Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA; Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Optimization & Implementation Research, US Department of Veterans Affairs, VA Bedford Health Care System, Bedford, Massachusetts, USA; Department of Medicine, Section of General Internal Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA; Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1322918889","https://openalex.org/I4210095851","https://openalex.org/I4405272782"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084445607","display_name":"Hill L. Wolfe","orcid":"https://orcid.org/0000-0001-8834-1560","observed_orcids":["https://orcid.org/0000-0001-8834-1560"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hill L. Wolfe","raw_affiliation_strings":["Department of Biostatistics, Yale School of Public Health, New Haven, Connecticut, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics, Yale School of Public Health, New Haven, Connecticut, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087963768","display_name":"Landon D. Hughes","orcid":"https://orcid.org/0000-0001-9558-3779","observed_orcids":["https://orcid.org/0000-0001-9558-3779"]},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I4210111543","display_name":"Harvard Pilgrim Health Care","ror":"https://ror.org/01zxdeg39","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210111543"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Landon D. Hughes","raw_affiliation_strings":["Department of Population Medicine, Harvard Medical School, Boston, Massachusetts, USA; Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Population Medicine, Harvard Medical School, Boston, Massachusetts, USA; Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA","institution_ids":["https://openalex.org/I136199984","https://openalex.org/I4210111543"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041298160","display_name":"Joseph Lucien Goulet","orcid":"https://orcid.org/0000-0002-0842-804X","observed_orcids":["https://orcid.org/0000-0002-0842-804X"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph L. Goulet","raw_affiliation_strings":["Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046538733","display_name":"Monica Mukherjee","orcid":"https://orcid.org/0000-0001-6088-0773","observed_orcids":["https://orcid.org/0000-0001-6088-0773"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Monica Mukherjee","raw_affiliation_strings":["Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA","institution_ids":["https://openalex.org/I145311948"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5049332762","display_name":"Carl G. Streed","orcid":"https://orcid.org/0000-0003-3075-253X","observed_orcids":["https://orcid.org/0000-0003-3075-253X"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Carl G. Streed","raw_affiliation_strings":["Department of Medicine, Section of General Internal Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA; GenderCare Center, Boston Medical Center, Boston, Massachusetts, USA. Electronic address: carl.streed@bmc.org"],"raw_orcid":"https://orcid.org/0000-0003-3075-253X","affiliations":[{"raw_affiliation_string":"Department of Medicine, Section of General Internal Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA; GenderCare Center, Boston Medical Center, Boston, Massachusetts, USA. Electronic address: carl.streed@bmc.org","institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5046538733","https://openalex.org/A5049332762"],"corresponding_institution_ids":["https://openalex.org/I111088046","https://openalex.org/I1286490081","https://openalex.org/I145311948"],"apc_list":{"value":2936,"currency":"USD","value_usd":2936},"apc_paid":{"value":2936,"currency":"USD","value_usd":2936},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.65361569,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"5","issue":"10","first_page":"103198","last_page":"103198"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9692000150680542,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.9692000150680542,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.012000000104308128,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10821","display_name":"Cardiovascular Function and Risk Factors","score":0.004900000058114529,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/heart-failure","display_name":"heart failure","score":0.9909999966621399},{"id":"https://openalex.org/keywords/gender-identity","display_name":"gender identity","score":0.9959999918937683},{"id":"https://openalex.org/keywords/heart-failure-phenotypes","display_name":"heart failure phenotypes","score":0.8309999704360962},{"id":"https://openalex.org/keywords/heart-failure-with-preserved-ejection-fraction","display_name":"heart failure with preserved ejection fraction","score":0.8889999985694885},{"id":"https://openalex.org/keywords/heart-failure-with-reduced-ejection-fraction","display_name":"heart failure with reduced ejection fraction","score":0.972000002861023},{"id":"https://openalex.org/keywords/veterans","display_name":"veterans","score":0.8669999837875366}],"concepts":[{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.633400022983551},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.49079999327659607},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.48809999227523804},{"id":"https://openalex.org/C13662910","wikidata":"https://www.wikidata.org/wiki/Q193139","display_name":"Trajectory","level":2,"score":0.43050000071525574},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.424699991941452},{"id":"https://openalex.org/C2778355321","wikidata":"https://www.wikidata.org/wiki/Q17079427","display_name":"Identity (music)","level":2,"score":0.4169999957084656},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3962000012397766},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.34450000524520874},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3330000042915344},{"id":"https://openalex.org/C2991839931","wikidata":"https://www.wikidata.org/wiki/Q48264","display_name":"Gender identity","level":2,"score":0.3125},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.2874999940395355},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.2874000072479248},{"id":"https://openalex.org/C1691868","wikidata":"https://www.wikidata.org/wiki/Q1811049","display_name":"Life course approach","level":2,"score":0.2669000029563904}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.jacadv.2026.103198","doi":"https://doi.org/10.1016/j.jacadv.2026.103198","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jacadv.2026.103198","pdf_url":"https://www.jacc.org/doi/pdf/10.1016/j.jacadv.2026.103198?download=true","source":{"id":"https://openalex.org/S4220651314","display_name":"JACC Advances","issn_l":"2772-963X","issn":["2772-963X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Advances","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13699718","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13699718/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13699718/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC Adv","raw_type":"Text"},{"id":"pmid:42720656","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42720656","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC. Advances","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:15084b4e4f994799b83c842902e927cf","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/15084b4e4f994799b83c842902e927cf","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JACC: Advances, Vol 5, Iss 10, Pp 103198- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.jacadv.2026.103198","doi":"https://doi.org/10.1016/j.jacadv.2026.103198","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jacadv.2026.103198","pdf_url":"https://www.jacc.org/doi/pdf/10.1016/j.jacadv.2026.103198?download=true","source":{"id":"https://openalex.org/S4220651314","display_name":"JACC Advances","issn_l":"2772-963X","issn":["2772-963X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Advances","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.5676000118255615,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G8881414170","display_name":"Building methods to assess and address cardiovascular health in transgender adults","funder_award_id":"K01HL151902","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320306134","display_name":"Doris Duke Charitable Foundation","ror":"https://ror.org/04n65rp89"},{"id":"https://openalex.org/F4320306230","display_name":"American Heart Association","ror":"https://ror.org/013kjyp64"},{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7212013334.pdf","grobid_xml":"https://content.openalex.org/works/W7212013334.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W164205712","https://openalex.org/W1959356784","https://openalex.org/W2019576938","https://openalex.org/W2105347888","https://openalex.org/W2125568653","https://openalex.org/W2126125759","https://openalex.org/W2126617656","https://openalex.org/W2134983838","https://openalex.org/W2142262297","https://openalex.org/W2150408337","https://openalex.org/W2757221210","https://openalex.org/W2761326590","https://openalex.org/W2959182169","https://openalex.org/W3009554338","https://openalex.org/W3085551395","https://openalex.org/W3085640315","https://openalex.org/W3091832406","https://openalex.org/W3155987402","https://openalex.org/W3178181816","https://openalex.org/W3197073678","https://openalex.org/W3200821335","https://openalex.org/W4281663365","https://openalex.org/W4313530559","https://openalex.org/W4320484617","https://openalex.org/W4324321257","https://openalex.org/W4372271655","https://openalex.org/W4386570275","https://openalex.org/W4389560718","https://openalex.org/W4391167433","https://openalex.org/W4391169031","https://openalex.org/W4395071629","https://openalex.org/W4399498522","https://openalex.org/W4404145100","https://openalex.org/W4404186263","https://openalex.org/W4411959613","https://openalex.org/W4413113747","https://openalex.org/W7139016985"],"related_works":["https://openalex.org/W4409541092","https://openalex.org/W7139016985","https://openalex.org/W4404363515","https://openalex.org/W4404323537","https://openalex.org/W4411959613","https://openalex.org/W4409979101","https://openalex.org/W2795516085","https://openalex.org/W4406442706","https://openalex.org/W4283778638","https://openalex.org/W4285601041"],"abstract_inverted_index":{"BACKGROUND:":[0],"Differences":[1],"in":[2,54,169,174,250],"heart":[3],"failure":[4],"(HF)":[5],"phenotypes":[6],"and":[7,11,39,101,123,172,215,230,237,253],"trajectories":[8,40],"among":[9,150,255],"transgender":[10],"gender":[12,35],"diverse":[13],"(TGD)":[14],"populations":[15],"may":[16,259],"provide":[17],"insight":[18],"into":[19],"mechanisms":[20],"of":[21,27,51,137,225,265],"HF":[22,42,95,108,113,124,145,154,183,205,231,251,257],"risk.":[23],"OBJECTIVES:":[24],"The":[25,134],"objective":[26],"the":[28,55],"study":[29,50],"was":[30,74,82,96,140,179],"to":[31,159,193],"evaluate":[32],"associations":[33,217],"between":[34,41,212],"identity,":[36],"incident":[37,144],"HF,":[38],"phenotypes.":[43],"METHODS:":[44],"We":[45],"conducted":[46],"a":[47],"retrospective":[48],"cohort":[49],"1,103,923":[52],"veterans":[53,139],"Veterans":[56],"Health":[57],"Administration":[58],"(October":[59],"1,":[60],"2010-September":[61],"30,":[62],"2019;":[63],"median":[64],"follow-up":[65],"9.4":[66],"years).":[67],"TGD":[68,138,151,165,177,266],"status":[69,178],"(n":[70],"=":[71],"42,157;":[72],"3.8%)":[73],"identified":[75],"using":[76,98],"natural":[77],"language":[78],"processing.":[79],"Gender":[80,244],"identity":[81,245],"categorized":[83],"as":[84,107],"cisgender":[85,87,170,175,186,198,213],"men,":[86],"women,":[88],"transmasculine,":[89],"transfeminine,":[90],"or":[91],"unclassified":[92],"TGD.":[93],"Incident":[94,153],"defined":[97],"administrative":[99],"codes":[100],"classified":[102],"by":[103],"ejection":[104],"fraction":[105],"(EF)":[106],"with":[109,114,120,125,181,206,218,227,232,248],"reduced":[110,207],"EF":[111,116,121,208,228,234],"(<40%),":[112],"preserved":[115],"(HFpEF)":[117],"(>50%),":[118],"HFpEF":[119,219,226],"decline,":[122],"improved":[126,233],"EF.":[127],"Multivariable":[128],"Cox":[129],"regression":[130],"estimated":[131],"associations.":[132],"RESULTS:":[133],"mean":[135],"age":[136],"46":[141],"years.":[142],"107,766":[143],"events":[146],"occurred,":[147],"including":[148],"3,078":[149],"veterans.":[152,256],"rates":[155,209],"ranged":[156],"from":[157],"6.22":[158],"8.89":[160],"per":[161,239],"1,000":[162,240],"person-years":[163],"across":[164],"identities":[166],"vs":[167],"3.87":[168],"women":[171,187],"13.05":[173],"men.":[176],"associated":[180,247],"higher":[182],"risk":[184],"than":[185,197],"(HR:":[188,200],"1.53;":[189],"95%":[190,202],"CI:":[191,203],"1.46":[192],"1.60),":[194],"but":[195],"lower":[196],"men":[199,214],"0.90;":[201],"0.86-0.93).":[204],"were":[210,220],"intermediate":[211],"women;":[216],"inconsistent":[221],"after":[222],"adjustment.":[223],"Rates":[224],"decline":[229],"varied":[235],"(130.0-163.3":[236],"161.3-262.6":[238],"person-years,":[241],"respectively).":[242],"CONCLUSIONS:":[243],"is":[246],"differences":[249],"incidence":[252],"trajectory":[254],"epidemiology":[258],"be":[260],"incompletely":[261],"characterized":[262],"without":[263],"inclusion":[264],"populations.":[267]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-09-10T00:00:00"}
