Heart failure & cardiomyopathies

Heart Failure Risk and Events in People With HIV: The Randomized Trial to Prevent Vascular Events in HIV (REPRIEVE)

Circ Heart FailPublished Secondary analysis of the REPRIEVE randomised trial

Authors' conclusion

Select demographics, clinical factors, and global regions contribute to a higher incidence of HF events among PWH. In PWH, the observed overall number of HF events aligned with the estimated Predicting Risk of Cardiovascular Disease Events HF risk rates.

Study context

Population
People with HIV with low-to-moderate estimated atherosclerotic CVD riskmedian 50 years
Participants
7,769 people
Primary endpoint
HF incidence (events/1000 person-years): adjudicated HF hospitalization and adverse events by standardized HF query
Follow-up
Median 5.6 years (IQR, 4.3-5.9)
Methodological details5 global regions
  • 5 global regions

Primary result

As reported in the abstract

HF incidence · median follow-up 5.6 years

Overall heart failure (HF) incidence

1.65/1000 person-years

95% CI 1.30–2.09

Further findings

PREVENT HF risk score vs observed HF events

Median (Q1-Q3) PREVENT HF score, 1.01-2.62
1.66%
Expected HF events by PREVENT HF
73
Observed HF events (consistent with expected)
67

Original publication

Heart Failure Risk and Events in People With HIV: The Randomized Trial to Prevent Vascular Events in HIV (REPRIEVE). Circ Heart Fail. Published 29 December 2025. doi:10.1161/circheartfailure.125.013382

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