Heart failure & cardiomyopathies

Association Between Cardio-Ankle Vascular Index and Heart Failure Outcomes: Insights From a Prospective Multicenter Cohort

JACC AdvPublished Secondary analysis of the CAVI-J prospective cohort study

Primary result · HF-related hospitalizations and CV deathResult — go to the resultHazard ratio 3.18 95% CI 1.09–9.31

Authors' conclusion

In this exploratory study, elevated CAVI was associated with HF-related hospitalizations and cardiovascular death and modestly improved the risk prediction beyond conventional risk factors.

Study context

Population
Japanese adults aged 40 to 74 years with CV risk factors
Participants
2,932 adults
Comparison
High cardio-ankle vascular index (CAVI) vs lower CAVI
Primary endpoint
Heart failure (HF)-related hospitalizations and CV death
Follow-up
Median 4.9 years
Methodological detailsmulticentre, exploratory
  • Multicentre
  • Exploratory

Primary result

As reported in the abstract

Hazard ratio

3.18

95% CI 1.09–9.31

P = 0.034

High CAVIvs Lower CAVI
HR 3.18 (95% CI 1.09–9.31); P = 0.034
Primary outcomes recorded (overall)
32 patients (1.1%)

Further findings

Incremental prognostic value of adding CAVI to conventional risk model

Global chi value increased from 8.82 to 18.77
P = 0.002
Net reclassification index 0.621
P < 0.001

Original publication

Association Between Cardio-Ankle Vascular Index and Heart Failure Outcomes: Insights From a Prospective Multicenter Cohort. JACC Adv. Published 29 August 2025. doi:10.1016/j.jacadv.2025.102187

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