Heart failure & cardiomyopathies

Estimated Pulse Wave Velocity and Risk of New-Onset Heart Failure

ESC Heart FailPublished Prospective cohort study

Main finding · New-onset HF per 1 m/s increase in ePWVResult — go to the resultHazard ratio 1.35 95% CI 1.33–1.37

Authors' conclusion

ePWV was an independent predictor for new-onset heart failure.

Study context

Population
Employees without prior HF who attended the 2006–2007 health examination
Participants
98,269 employees
Exposure
Per 1 m/s increase in estimated pulse wave velocity (ePWV)
Outcome
New-onset HF
Follow-up
Average 13.85 ± 1.40 years

Main finding

New-onset HF per 1 m/s increase in ePWV

Hazard ratio

1.35

95% CI 1.33–1.37

ePWV (per 1 m/s)
HR 1.35 (95% CI 1.33–1.37)

Per 1 m/s, as printed

As reported in the abstract

AUC of ePWV for prediction of HF
0.74

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
New-onset HF per 1 m/s ePWV, by subgroupePWV (per 1 m/s) · CV risk factors present1.33 (1.31–1.36)P < 0.01
New-onset HF per 1 m/s ePWV, by subgroupePWV (per 1 m/s) · CV risk factors absent1.59 (1.46–1.73)P < 0.01
New-onset HF per 1 m/s ePWV, by subgroupePWV (per 1 m/s) · male1.33 (1.31–1.36)P < 0.01
New-onset HF per 1 m/s ePWV, by subgroupePWV (per 1 m/s) · female1.44 (1.38–1.51)P < 0.01
New-onset HF per 1 m/s ePWV, by subgroupePWV (per 1 m/s) · <52 years1.50 (1.41–1.58)P < 0.01
New-onset HF per 1 m/s ePWV, by subgroupePWV (per 1 m/s) · ≥52 years1.23 (1.21–1.26)P < 0.01

Reclassification after adding ePWV to traditional CV risk model (incl. age and mean arterial pressure)

Category-free net reclassification index (NRI)
0.311
Improvement in reclassification ability
31.1%
  • P < 0.01

Original publication

Estimated Pulse Wave Velocity and Risk of New-Onset Heart Failure. ESC Heart Fail. Published 10 April 2024. doi:10.1002/ehf2.14778

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