Heart failure & cardiomyopathies

Association of Mild Kidney Dysfunction with Diastolic Dysfunction and Heart Failure with Preserved Ejection Fraction

ESC Heart FailPublished Cross-sectional analysis of an observational cohort study

Main finding · HFpEF prevalenceResult — go to the resultOdds ratio 2.07 95% CI 1.23–3.49

Authors' conclusion

Both mild and moderate kidney dysfunction are independently associated with left ventricular diastolic dysfunction parameters and HFpEF. This association is independent of sex and strongest for moderate kidney dysfunction.

Study context

Population
Outpatients in the HELPFul observational study; mean age 62.9 years, 69% female406 with mild or moderate kidney dysfunction
Participants
880 outpatients
Exposure
Mild or moderate kidney dysfunction vs normal kidney function
Outcome
E/e', LV mass index, relative wall thickness, ACC/AHA stage C/D HF and HFpEF (expert panel)
Methodological detailsmultivariable adjusted regression, sex-stratified
  • Multivariable adjusted regression
  • Sex-stratified

Main finding

HFpEF prevalence

Odds ratio

2.07

95% CI 1.23–3.49

By group

Moderate kidney dysfunctionvs Normal kidney function
OR 2.07 (95% CI 1.23–3.49)

As reported in the abstract

Observational data: associations, not effects.

Original publication

Association of Mild Kidney Dysfunction with Diastolic Dysfunction and Heart Failure with Preserved Ejection Fraction. ESC Heart Fail. Published 27 November 2023. doi:10.1002/ehf2.14511

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