Heart failure & cardiomyopathies

Residual Pulmonary Hypertension and Clinical Outcomes in Acute Decompensated Heart Failure Patients Stratified By Left Ventricular Ejection Fraction

Eur J Heart FailPublished Prospective cohort study

Authors' conclusion

The prognostic importance of residual PH was comparable across both HF with reduced and preserved ejection fraction patients.

Study context

Population
Hospitalised patients with acute decompensated heart failure (HF) (WET-HF registry)
Participants
1,702 patients
Exposure
Residual pulmonary hypertension (PH) vs no PH, stratified by left ventricular ejection fraction (LVEF)
  • nonPH-HF with LVEF <50%n = 689reference
  • PH-HF with LVEF <50%n = 291
  • nonPH-HF with LVEF ≥50%n = 453
  • PH-HF with LVEF ≥50%n = 269
Outcome
Composite of:
  • All-cause mortality
  • HF rehospitalisation
Follow-up
2 years
Methodological detailsmulticentre, registry (WET-HF)
  • Multicentre
  • Registry (WET-HF)

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

Outcomes by BNP improvement >30% vs less, nonPH-HF (subgroup)

Composite endpoint

All-cause mortality

HF rehospitalisation

  • Outcomes by BNP improvement >30% vs less, nonPH-HF (subgroup): composite p < 0.001
  • Outcomes by BNP improvement >30% vs less, nonPH-HF (subgroup): all-cause mortality p < 0.001
  • Outcomes by BNP improvement >30% vs less, nonPH-HF (subgroup): HF rehospitalisation p = 0.001

Outcomes by BNP improvement, PH-HF (subgroup)

No such difference evident

Original publication

Residual Pulmonary Hypertension and Clinical Outcomes in Acute Decompensated Heart Failure Patients Stratified By Left Ventricular Ejection Fraction. Eur J Heart Fail. Published 4 July 2025. doi:10.1002/ejhf.3755

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

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