Heart failure & cardiomyopathies

Cardiovascular vs. Non-Cardiovascular Deaths After Heart Failure Hospitalization in Young, Older, and Very Old Patients

ESC Heart FailPublished Prospective registry cohort study

Authors' conclusion

The probability of a non-CVD increases in both LVEF categories with advancing age, but that it is greater in the HFpEF category.

Study context

Population
Patients hospitalized with heart failure (HF); age groups young (<65 years), older (65–84 years), very old (≥85 years)39.7% women
Participants
3,558 patients
Exposure
Non-HFpEF vs HF with preserved EF (HFpEF), by age group
  • HFpEFn = 1,505reference
  • non-HFpEFn = 2,053
Outcome
CV death and non-CV death by age and LVEF category
Follow-up
Median 2 years
Methodological detailsconsecutively registered, central adjudication of events, Adverse events adjudicated by central committee
  • Consecutively registered
  • Central adjudication of events
  • Adverse events adjudicated by central committee

Main finding

As reported in the abstract

Proportion of deaths that were CV

Young

Older

Very old

Observational data: associations, not effects.

Further findings

Crude incidence of all-cause death, by age

Young

log-rank P = 0.10

Older

log-rank P = 0.002

Very old

log-rank P = 0.043

OutcomeHR (95% CI)P value
HF readmission and subsequent all-cause deathHF readmissionvs no HF readmissionnon-HFpEF1.72 (1.41–2.09)P < 0.001
HF readmission and subsequent all-cause deathHF readmissionvs no HF readmissionHFpEF1.12 (0.87–1.43)P = 0.39

Original publication

Cardiovascular vs. Non-Cardiovascular Deaths After Heart Failure Hospitalization in Young, Older, and Very Old Patients. ESC Heart Fail. Published 27 November 2022. doi:10.1002/ehf2.14245

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