Heart failure & cardiomyopathies

Circulating CD19 B cell Count, Myocardial Injury and Clinical Outcomes in Patients with Heart Failure

ESC Heart FailPublished Prospective cohort study

Main finding · All-cause mortalityResult — go to the resultHazard ratio 0.57 CI 0.45–0.71

Authors' conclusion

Circulating CD19 B cell counts correlated with myocardial injury and could be a feasible marker for clinical outcomes in patients with HF.

Study context

Population
Consecutive patients with heart failure (HF) (mean age 73, 59.6% men)
Participants
395 patients
Exposure
Circulating lymphocyte subset counts as predictors of outcomes
Outcome
All-cause mortality
Follow-up
Median 374 days
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

Hazard ratio

0.57

CI 0.45–0.71

P < 0.0001

CD19 B cell count
HR 0.57 (CI 0.45–0.71); P < 0.0001
C-index of CD19 B cell count for all-cause mortality, highest among lymphocyte subset counts (vs 0.69063, 0.65312, 0.60117)
0.73085
C-index for all-cause mortality, basic risk factors + CD19 B cell count vs basic risk factors alone (0.7609); significant net reclassification index and integrated discrimination improvement
0.8000 (P = 0.0256)

Observational data: associations, not effects.

Secondary outcomes

HF-related events

HR (CI)P value
CD19 B cell countMultivariate Cox, adjusted0.79 (0.64–0.98)P = 0.0293

Correlation of CD19 B cell count with heart-type fatty acid-binding protein

Negative correlation (simple linear analysis), r
−0.3669 (P < 0.0001)

Original publication

Circulating CD19 B cell Count, Myocardial Injury and Clinical Outcomes in Patients with Heart Failure. ESC Heart Fail. Published 22 July 2025. doi:10.1002/ehf2.15382

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