Heart failure & cardiomyopathies

Optimal left ventricular ejection fraction in risk stratification of patients with cardiac sarcoidosis

EuropacePublished Retrospective cohort study

Authors' conclusion

Among patients with CS, a mild reduction in LVEF of 42% was identified as the optimal cutoff for predicting VA and all-cause mortality. Prior VA and scar by CMR or PET are strong risk factors for future VA and all-cause mortality.

Study context

Population
Patients with well-established cardiac sarcoidosis
Participants
273 patients
Outcome
Composite of:
  • Ventricular arrhythmia
  • All-cause mortality

Main finding

As reported in the abstract

Primary composite endpoint:
  • VA
  • All-cause mortality
· median follow-up 7.9 years

Rate of primary endpoint (83 ventricular arrhythmia (VAs) and 32 all-cause deaths)

38%

Optimal left ventricular ejection fraction (LVEF) cutoff for primary endpoint, entire cohort and subjects without history of VA

42%

Observational data: associations, not effects.

Further findings

Overall survival · 5 years

5-year overall survival rate
97%

All-cause mortality risk factors

Independent risk factors: lower LVEF, baseline NT-proBNP, any presence of scar

Original publication

Optimal left ventricular ejection fraction in risk stratification of patients with cardiac sarcoidosis. Europace. Published 18 September 2023. doi:10.1093/europace/euad273

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

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