Heart failure & cardiomyopathies

Long-Term Outcomes of Phenoclusters in Preclinical Heart Failure with Preserved and Mildly Reduced Ejection Fraction

ESC Heart FailPublished Prospective cohort study

Main finding · HF/deathResult — go to the resultAdjusted hazard ratio 2.46 95% CI 1.24–4.90

Authors' conclusion

Based on phenomapping, older patients with lower kidney function and worse diastolic function might represent a subset of preclinical HF with EF > 40% who deserve more efforts to prevent clinical HF.

Study context

Population
Asymptomatic outpatients with ejection fraction (EF) > 40% with hypertension, DM or known CVD (preclinical heart failure (HF); DAVID-Berg study)591 in cluster analysis
Participants
596 outpatients
Exposure
Phenoclusters: Cluster 3 vs Clusters 1 and 2
Outcome
Composite of HF/death
Follow-up
Median 5.7 years
Methodological detailsunsupervised cluster analysis (phenomapping)
  • Unsupervised cluster analysis (phenomapping)

Main finding

HF/death

Adjusted hazard ratio

2.46

95% CI 1.24–4.90

Cluster 3vs Cluster 1
adjusted HR 2.46 (95% CI 1.24–4.90)

As reported in the abstract

Subjects with HF/death events, overall (N = 79)
13.4%

Observational data: associations, not effects.

Original publication

Long-Term Outcomes of Phenoclusters in Preclinical Heart Failure with Preserved and Mildly Reduced Ejection Fraction. ESC Heart Fail. Published 4 July 2024. doi:10.1002/ehf2.14913

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