Heart failure & cardiomyopathies

Impact of Age on Clinical Outcomes and Response to Serelaxin in Patients with Acute Heart Failure: An Analysis from the RELAX-AHF-2 Trial

Eur J Heart FailPublished Secondary analysis of the RELAX-AHF-2 randomised trial

Authors' conclusion

Elderly patients are at higher risk of short- and long-term CV outcomes after a hospitalization for AHF.

Study context

Population
Patients admitted for acute heart failure (AHF) randomised to serelaxin or placebo in RELAX-AHF-2mean age 73.0 ± 11 years
Participants
6,545 patients
Comparison
Outcomes and serelaxin treatment effect by age category
  • <65n = 1,411
  • 65-74n = 1,832
  • 75-79n = 1,222
  • 80-84n = 1,156
  • ≥85n = 924
Methodological detailspre-specified clinical outcomes
  • Pre-specified clinical outcomes

Primary result

As reported in the abstract

All-cause and cardiovascular (CV) death directly associated with age categories
p < 0.001
CV death or HF/renal failure rehospitalization through 180 days directly associated with age categories
p = 0.002
Hospital discharge through day 60 directly associated with age categories
p = 0.013
No clinically significant change in serelaxin treatment effects across age categories for pre-specified endpoints
interaction p > 0.05

Original publication

Impact of Age on Clinical Outcomes and Response to Serelaxin in Patients with Acute Heart Failure: An Analysis from the RELAX-AHF-2 Trial. Eur J Heart Fail. Published 6 September 2024. doi:10.1002/ejhf.3451

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