(Coronary Artery Risk Development In young Adults),47 indicate that early-onset HF before the age of 50 years disproportionately affected black men and women, who have an incidence 20 times that of white individuals.47 This increased risk was particularly associated with hypertension as well as obesity, chronic kidney disease, and the development of depressed LVEF 10 to 15 years earlier.47Mortalit