Heart failure & cardiomyopathies

Investigation of Left Ventricular Ejection Fraction in a Swiss Heart Failure Population: Insights Into Mortality and Sex Differences

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

The prognostic role of LVEF on all-cause mortality remains unclear, while differences in mortality rate distribution between women and men mirror established HF pathophysiological sex differences.

Study context

Population
Heart failure (HF) patients admitted to the University Hospital of Bern, January 2015 to December 20192,912 died
Participants
5,824 patients
Exposure
HF with Preserved Ejection Fraction (HFpEF) vs HF with Mid-range Ejection Fraction (HFmrEF) vs HFrEF
Outcome
All-cause mortality by LVEF category
Follow-up
Median 3.39 years
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Mortality across LVEF categories
  • No significant differences in mortality rates across left ventricular ejection fraction (LVEF) categories
  • Women had significantly higher mortality overall
  • Adjusted Cox proportional hazard models

Observational data: associations, not effects.

Further findings

30-day mortality, HFpEF

HR (95% CI)P value
HFpEFOverall0.67 (0.52–0.88)P = 0.003
HFpEFMales0.59 (0.42–0.81)P < 0.001
HFpEFNon-diabetics0.62 (0.44–0.87)P = 0.005

Mortality after 1 year, HFpEF, females (subgroup)

HR (95% CI)P value
HFpEFFemales0.72 (0.53–0.98)P = 0.035

Original publication

Investigation of Left Ventricular Ejection Fraction in a Swiss Heart Failure Population: Insights Into Mortality and Sex Differences. ESC Heart Fail. Published 10 December 2024. doi:10.1002/ehf2.15174

Composed by AI from the published abstract and checked against it. How Briefs are made →

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