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There are prominent geographic disparities in the life expectancy (LE) of older US adults between the states with the highest (leadingstates) and lowest (lagging states) LE and their causes remain poorly understood. Heart failure (HF) has been proposed as a major contributor to these disparities. This study aims to investigate geographic disparities in HF outcomes between the leading and lagging states. The study was a secondary data analysis of HF outcomes in older US adults aged 65+, using Center for Disease Control and Prevention spon