Heart failure & cardiomyopathies

Isolated non-specific electrocardiographic ST-T abnormalities and risk of incident heart failure and its subtypes

HeartPublished Analysis of REasons for Geographic and Racial Differences in Stroke participants

Main finding · Incident HFResult — go to the resultHazard ratio 1.83 95% CI 1.53–2.19

Authors' conclusion

Isolated NSSTTAs were associated with an increased risk of developing both HFrEF/HFmrEF and HFpEF. These findings challenge the assumption that NSSTTAs are benign and suggest their potential role in HF risk stratification.

Study context

Population
REasons for Geographic and Racial Differences in Stroke participants free of heart failure (HF), coronary heart disease (CHD) or major ECG abnormalities at baseline (2003–2007)mean age: 63.1±9.0 years, 60.1% women, 40.0% black
Participants
13,914 participants
Comparison
Isolated non-specific ST-T abnormalities (NSSTTAs) and risk of incident HF and its subtypes
  • Isolated NSSTTAsn = 3,859
Outcome
Incident HF
Follow-up
Median 13.5 years (IQR: 7.9-15.6)
Methodological detailsmultivariable Cox proportional hazards models, cause-specific Cox models treating HF subtypes as competing risks
  • Multivariable Cox proportional hazards models
  • Cause-specific Cox models treating HF subtypes as competing risks

Main finding

As reported in the abstract

Hazard ratio

1.83

95% CI 1.53–2.19

Isolated NSSTTAs
HR 1.83 (95% CI 1.53–2.19)

Further findings

HFrEF/HFmrEF and HF with preserved EF (HFpEF)

HR (95% CI)
Isolated NSSTTAsHFrEF/HFmrEF; increased risk2.19 (1.64–2.93)
Isolated NSSTTAsHFpEF; increased risk1.66 (1.23–2.24)

Original publication

Isolated non-specific electrocardiographic ST-T abnormalities and risk of incident heart failure and its subtypes. Heart. Published 17 November 2025. doi:10.1136/heartjnl-2025-326798

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

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