Arrhythmias & electrophysiology

Multidimensional prognostic index domain phenotypes identified using latent class analysis and mortality in the European Study of Older Subjects With Atrial Fibrillation (EUROSAF)

Heart RhythmPublished latent class analysis

Authors' conclusion

In a cohort of older patients with AF, latent class analysis identified 4 MPI domain phenotypes with different risks of mortality. Pending confirmatory studies, the identified subgroups might allow more targeted interventions to improve outcomes in this population.

Study context

Population
Older patients with atrial fibrillation (AF) in the European Study of Older Subjects With Atrial Fibrillationpatients with AF
Participants
2,019 patients
Comparison
Compared with phenotype 1, 12-month mortality in phenotypes 2, 3 and 4
  • Phenotype 1n = 672reference
  • Phenotype 2n = 685
  • Phenotype 3n = 161
  • Phenotype 4n = 501
Outcome
Mortality
Follow-up
12-month
Methodological detailsCox regression models
  • Cox regression models

Main finding

As reported in the abstract

Each group vs phenotype 1Adjusted hazard ratio (95% CI)
Phenotype 3
4.68(3.41–6.43)
Phenotype 2
1.98(1.53–2.57)
Phenotype 4
1.44(1.07–1.94)

Further findings

Baseline characteristics

Mean age
82.9 years [standard deviation, 7.5]
Females
57%

Original publication

Multidimensional prognostic index domain phenotypes identified using latent class analysis and mortality in the European Study of Older Subjects With Atrial Fibrillation (EUROSAF). Heart Rhythm. Published 12 May 2025. doi:10.1016/j.hrthm.2025.05.012

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