Heart failure & cardiomyopathies

Baseline characteristics in the TransitionCHF study: asymptomatic patients with heart failure and reduced ejection fraction

ESC Heart FailPublished prospective observational TransitionCHF study

Authors' conclusion

Patients included in the TransitionCHF study are younger and suffer from fewer comorbidities as compared with symptomatic heart failure patients. Associations between NT-proBNP levels and markers of exercise performance were weak.

Study context

Population
Patients with asymptomatic systolic left ventricular dysfunction (ASLVD), New York Heart Association (NYHA) I, ejection fraction ≤ 40%individuals with ASLVD NYHA I recruited
Participants
1,005 patients
Exposure
Patient characteristics compared with other studies involving patients with symptomatic heart failure
Outcome
Baseline characteristics

Main finding

As reported in the abstract

Mean age

60 ± 14 years

Women

18%

Mean ejection fraction

36%

Mean left ventricular end-diastolic diameter

59 mm

Observational data: associations, not effects.

Further findings

Comparison with studies of symptomatic heart failure

Age younger
≈ 5 years
Frequency of comorbidities lower

Correlations of SF-36 physical functioning score

MQ (moderate)
r = −0.44
6-min walking distance (weak)
r = 0.32
Peak VO2 at ergospirometry (weak)
r = 0.28
HAF17 (weak)
r = −0.34

Correlations of N-terminal prohormone of brain natriuretic peptide (NT-proBNP) levels

Peak VO2 (weak)
r = −0.29
6-min walk distance (weak)
r = −0.21

Original publication

Baseline characteristics in the TransitionCHF study: asymptomatic patients with heart failure and reduced ejection fraction. ESC Heart Fail. Published 21 January 2026. doi:10.1093/eschf/xvag012

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