Heart failure & cardiomyopathiesCohort study

Echocardiographic heart ageing patterns predict cardiovascular and non-cardiovascular events and reflect biological age: the SardiNIA study

Eur J Prev CardiolPublished

  • Prospective cohort study

Authors' conclusion

Standard Doppler echocardiography detects slow, normal, and accelerated heart ageing patterns. They predict CV and non-CV events, reflect biological age

Study context

Population
Healthy subjects (SardiNIA study)
Participants
2,614 subjects
Exposure
Slow vs normal vs accelerated echocardiographic heart ageing patterns
Outcome
Fatal and non-fatal CV events

Main finding

As reported in the abstract

Kaplan-Meier curves diverged significantly; event rate lowest in slow, intermediate in normal, highest in accelerated

P = 0.0001

Heart ageing patterns predicted the primary endpoint in Cox model, independent of chronological age and risk factors

P = 0.01

Observational data: associations, not effects.

Secondary outcomes

Prevalence of heart ageing patterns

OutcomeSlowNormalAccelerated
HeartPhAge vs chronological age9 years youngeroverlapping4 years older
  • HeartPhAge vs chronological age: slow and accelerated both P < 0.0001

Composite of cardiovascular (CV) and non-CV events and all-cause death

Kaplan-Meier curves diverged significantly
P = 0.0001
Heart ageing patterns predicted secondary endpoints in Cox model, independent of chronological age and risk factors
P = 0.03 to <0.0001

Original publication

Echocardiographic heart ageing patterns predict cardiovascular and non-cardiovascular events and reflect biological age: the SardiNIA study. Eur J Prev Cardiol. Published 1 August 2023. doi:10.1093/eurjpc/zwad254

Summarised from the published abstract; every number is checked against it