Heart failure & cardiomyopathies

Age- and sex-related differences in heart failure characteristics and treatment patterns across the ejection fraction spectrum: first data from the BRING-UP 3 Heart Failure study

Eur Heart J Qual Care Clin OutcomesPublished prospective, observational, multicenter investigation

Authors' conclusion

Significant age- and sex-related disparities exist in HF characteristics and treatment patterns. Tailored management strategies are needed to optimize medical therapy for females and older adults, to improve HF outcomes and ensure equitable care.

Study context

Population
All-comers cohort of heart failure (HF) patients at Italian cardiology sitesHF patients (median age 72 years, 24% female) included over three months
Participants
5,203 participants
Exposure
Age- and sex-related differences in clinical characteristics and treatments
Outcome
Clinical characteristics and OMT by sex
Methodological details179 Italian cardiology sites, all-comers cohort
  • 179 Italian cardiology sites
  • All-comers cohort

Main finding

As reported in the abstract

  • Females were older, had a higher prevalence of non-ischemic HF etiologies, and were less likely to receive optimal medical therapy (OMT) compared with males

Observational data: associations, not effects.

Further findings

OutcomeOdds ratio (95% CI)
Receiving OMT (multivariable adjustment)After multivariable adjustment0.94 (0.88–0.93)
  • Receiving OMT (multivariable adjustment): only age remained independently associated with a lower likelihood of receiving OMT

OMT by age

Older patients also experienced suboptimal treatment

Original publication

Age- and sex-related differences in heart failure characteristics and treatment patterns across the ejection fraction spectrum: first data from the BRING-UP 3 Heart Failure study. Eur Heart J Qual Care Clin Outcomes. Published 24 September 2025. doi:10.1093/ehjqcco/qcaf113

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