Heart failure & cardiomyopathies

Rates and Predictors of Cardiovascular and Non-Cardiovascular Outcomes in Heart Failure with Preserved Ejection Fraction

ESC Heart FailPublished Prospective cohort study

Authors' conclusion

In a clinical cohort hospitalized and diagnosed with HFpEF, death and hospitalization rates were roughly similar for CV and non-CV causes. CV deaths were predicted primarily by severity of HF; non-CV deaths primarily by anaemia and prior stroke. Lower serum sodium predicted both. Hospitalizations were difficult to predict.

Study context

Population
Patients hospitalized and diagnosed with HFpEF (EF ≥45%), Karolinska-Rennes study
Participants
539 patients
Outcome
Rates and predictors of CV and non-CV death and hospitalization
Methodological detailsbi-national, observational
  • Bi-national
  • Observational

Main finding

As reported in the abstract

1196 patient-years; median 744 days (13-1959)
All-cause deaths
159 (29%); 13 per 100 patient-years
Cardiovascular (CV) death
5.1 per 100 patient-years
Heart failure (HF) death
3.9 per 100 patient-years
Non-CV death
5.8 per 100 patient-years
Cancer death
2.3 per 100 patient-years
Hospitalizations (723 in 338 patients, 63%)
60 per 100 patient-years
CV hospitalization
33 per 100 patient-years
HF hospitalization
17 per 100 patient-years
Non-CV hospitalization
27 per 100 patient-years
Lung disease hospitalization
5 per 100 patient-years

Observational data: associations, not effects.

Original publication

Rates and Predictors of Cardiovascular and Non-Cardiovascular Outcomes in Heart Failure with Preserved Ejection Fraction. ESC Heart Fail. Published 29 July 2024. doi:10.1002/ehf2.14928

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