Heart failure & cardiomyopathies

Haemodynamic gain index and heart failure incidence- Prognostic and preventive value

Eur J Prev CardiolPublished Prospective cohort study

Main finding · HF incidenceResult — go to the resultHazard ratio 0.56 95% CI 0.45–0.69

Authors' conclusion

HGI was found to be a strong predictor of HF incidence in men, supporting its prognostic value. Higher HGI was independently associated with lower risk of HF incidence, while low HGI could serve as a prognostic risk factor for HF.

Study context

Population
Men free from heart failure (HF) at baseline undergoing treadmill exercise testing, aged 59 ± 11.5 years297 HF cases
Participants
5,539 men
Exposure
Haemodynamic gain index (HGI) quartiles
Outcome
Incident HF
Follow-up
14.3 ± 6 years

Main finding

HF incidence

Hazard ratio

0.56

95% CI 0.45–0.69

P < 0.001

HGI
hazard ratio 0.56 (95% CI 0.45–0.69); P < 0.001

Per one unit higher HGI, as printed

As reported in the abstract

Observational data: associations, not effects.

Further findings

HF incidence and HGI in the cohort

Average annual HF incidence rate
3.7 events per 1000 person-years
Average HGI
1.6 ± 0.7 bpm/mmHg

Original publication

Haemodynamic gain index and heart failure incidence- Prognostic and preventive value. Eur J Prev Cardiol. Published 31 July 2023. doi:10.1093/eurjpc/zwad236

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