Heart failure & cardiomyopathies

Frailty in Heart Failure According to the Presence or Absence of Wild-Type Transthyretin Cardiac Amyloidosis

ESC Heart FailPublished Cross-sectional study

Authors' conclusion

ATTRwt CA is associated with a specific frailty phenotype.

Study context

Population
Consecutive heart failure (HF) patients, April 2018 to April 2021; mean age 80.9 years, 87% male
Participants
123 patients
Exposure
HF with ATTRwt CA vs HF without ATTRwt CA
  • HF + ATTRwt+n = 68
  • HF + ATTRwt-n = 55reference
Outcome
Frailty parameters assessed using multidimensional geriatric tools
Methodological detailscomparative, prospective, consecutive patients
  • Comparative
  • Prospective
  • Consecutive patients

Main finding

As reported in the abstract

Frailty parameters
HF + ATTRwt+ vs HF + ATTRwt-Odds ratio (95% CI)P value
Balance disorders
1.8(1.1–2.8)
P = 0.02
Memory complaints
2.5(1.0–5.9)
P = 0.05
Overactive bladder
1.5(1.1–2.2)
P = 0.03
Very frail (not significant)
2.4(0.9–6.9)
P = 0.10
Shrinking
OR 2.9 (95% CI 1.1–1.7); P = 0.03

Observational data: associations, not effects.

Original publication

Frailty in Heart Failure According to the Presence or Absence of Wild-Type Transthyretin Cardiac Amyloidosis. ESC Heart Fail. Published 16 September 2024. doi:10.1002/ehf2.15026

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