Arrhythmias & electrophysiology

Plasma angiopoietin-2 and its association with heart failure in patients with atrial fibrillation

EuropacePublished Cohort study

Authors' conclusion

In patients with AF, plasma levels of angiopoietin-2 were independently associated with subsequent hospitalization for heart failure and provided incremental prognostic value to clinical risk factors and NT-proBNP.

Study context

Population
Patients with atrial fibrillation (AF)
Participants
2,987 vs 13,079
Exposure
Plasma angiopoietin-2 levels
  • Explorationn = 2,987
  • Validationn = 13,079
Outcome
Association of angiopoietin-2 with clinical characteristics and outcomes (HF hospitalization)
Methodological detailsexploration and validation cohorts
  • Exploration and validation cohorts

Main finding

As reported in the abstract

Subsequent hospitalization for HF (third vs first quartile of angiopoietin-2)

Exploration

0.79

95% CI 0.75–0.82

c-index

Validation

0.76

95% CI 0.74–0.78

c-index

Third quartile vs First quartileHazard ratio (95% CI)
Exploration cohort; adjusted for age, creatinine, clinical characteristics
1.74(1.26–2.41)
Validation cohort
1.58(1.37–1.82)
Association persisted after also adjusting for NT-proBNP, both cohorts
P ≤ 0.001

Observational data: associations, not effects.

Further findings

Ischaemic stroke, CV and all-cause death, major bleeding

No statistically significant associations consistent across both cohorts (full models incl. NT-proBNP)

Baseline correlates of angiopoietin-2

Independently associated with AF on baseline ECG, persistent/permanent AF, age, history of HF, female sex, smoking, BMI, renal dysfunction, DM and NT-proBNP in both cohorts

Original publication

Plasma angiopoietin-2 and its association with heart failure in patients with atrial fibrillation. Europace. Published 18 July 2023. doi:10.1093/europace/euad200

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