Heart failure & cardiomyopathiesCross-sectional study

Heart failure in the Portuguese population aged ≥50 years: prevalence and phenotypes in the PORTHOS study

Eur Heart JPublished

  • Cross-sectional study
  • population-based
  • two-stage design

Authors' conclusion

HF affects approximately one in six Portuguese adults aged ≥50 years, with HFpEF accounting for over 90% of cases, most previously undiagnosed.

Study context

Population
Community-dwelling adults aged ≥50 years in mainland Portugal1,136 diagnosed with heart failure (HF)
Participants
6,189 adults
Outcome
Prevalence and phenotypic distribution of HF

Main finding

As reported in the abstract

HF prevalence
Estimated HF prevalence
16.54%
HF prevalence, 50-59 years
4.01%
HF prevalence, ≥70 years
30.68%
HF prevalence, females
21.00%
HF prevalence, males
10.47%

Observational data: associations, not effects.

Further findings

HF phenotype and prior diagnosis

HF with preserved ejection fraction (HFpEF) among HF
93.4%
Previously undiagnosed
90%

Factors associated with HFpEF

HFpEF independently associated with older age, female sex, T2DM, AF and dyslipidaemia

Original publication

Heart failure in the Portuguese population aged ≥50 years: prevalence and phenotypes in the PORTHOS study. Eur Heart J. Published 5 February 2026. doi:10.1093/eurheartj/ehag030

Summarised from the published abstract; every number is checked against it