Heart failure & cardiomyopathies

Depressive Symptoms are Associated with Clinical Outcomes in Heart Failure with Reduced Ejection Fraction

ESC Heart FailPublished Prospective cohort study

Authors' conclusion

This study confirms that elevated depressive symptoms are associated with an increased likelihood of adverse clinical outcomes in patients with HFrEF.

Study context

Population
Men and women with heart failure and reduced ejection fraction (HFrEF) enrolled through heart failure (HF) clinics
Participants
142 men
Exposure
Higher vs lower depressive symptoms
Outcome
Death or CV hospitalization
Follow-up
Median 4 years

Main finding

As reported in the abstract

Risk of death or CV hospitalization per 10-point higher baseline Beck Depression Inventory-II (BDI-II) score

35% greater

Died

42

30%

CV hospitalizations

84

60%

Observational data: associations, not effects.

Further findings

Baseline BDI-II and health behaviours

Correlation with HF self-care maintenance (Self-Care of Heart Failure Index (SCHFI))
R = −0.30, P < 0.001
Correlation with daily steps
R = −0.19, P = 0.04

BNP change over 6 months

Correlation of BDI-II change with BNP change
R = 0.25, P = 0.004
Increases in plasma BNP associated with worse outcomes

Original publication

Depressive Symptoms are Associated with Clinical Outcomes in Heart Failure with Reduced Ejection Fraction. ESC Heart Fail. Published 7 May 2024. doi:10.1002/ehf2.14758

Composed by AI from the published abstract and checked against it. How Briefs are made →

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