Heart failure & cardiomyopathies

Geographical Variation in Patient Characteristics and Outcomes in Heart Failure with Mildly Reduced and Preserved Ejection Fraction

Eur J Heart FailPublished Individual patient analysis of five clinical trials

Authors' conclusion

There is substantial geographic variation in patient characteristics, treatment and outcomes among patients with HFpEF and HFmrEF.

Study context

Population
Patients with HF with preserved ejection fraction (HFpEF) or HF with mildly reduced ejection fraction (HFmrEF) enrolled in five clinical trials
Participants
19,959 patients5 trials
Comparison
Geographic regions
Outcome
CV death or HF hospitalization
Methodological detailspooled individual patient data, multivariable regression
  • Pooled individual patient data
  • Multivariable regression

Pooled result

As reported in the abstract

CV death or HF hospitalization, HFmrEF (per 100 patient-years)

Further pooled results

OutcomeValues
CV death or HF hospitalization, HFpEF (per 100 patient-years)NA 11.47 /100py · AP 7.80 /100py · CEER 5.47 /100py · LA 5.92 /100py · WE 7.80 /100py
  • CV death or heart failure (HF) hospitalization, HFpEF (per 100 patient-years): HFpEF n = 15 353 (76.9%)

Patient characteristics by region

Western Europe (WE) oldest, Central/Eastern Europe and Russia (CEER) youngest; Latin America (LA) most females; North America (NA) most black patients
Obesity and DM most prevalent in NA; hypertension and CHD most common in CEER
Self-reported health status worst in NA, best in Asia-Pacific (AP)

Original publication

Geographical Variation in Patient Characteristics and Outcomes in Heart Failure with Mildly Reduced and Preserved Ejection Fraction. Eur J Heart Fail. Published 23 June 2024. doi:10.1002/ejhf.3352

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