Heart failure & cardiomyopathies

Risk Factors for Pre-Heart Failure or Symptomatic Heart Failure Based on NT-proBNP

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

The accumulation of these risk factors was associated with a graded higher risk of pre-heart failure or symptomatic heart failure.

Study context

Population
Japanese general population aged 30–69 years (Circulatory Risk in Communities Study) with NT-proBNP measured 2010–201585 HF cases
Participants
2,768 participants
Exposure
Cardiovascular risk factors vs reference categories
Outcome
Pre-HF or symptomatic HF (NT-proBNP >400 pg/mL or HF diagnosis on HF medication)

Main finding

As reported in the abstract

Pre-HF or symptomatic HF (NT-proBNP >400 pg/mL or diagnosed HF on HF medication)
Multivariable odds ratio (95% CI)
BMI 27-29.9 kg/m²vs BMI 21-22.9 kg/m²
5.70(2.70–12.0)
BMI ≥30 kg/m²vs BMI 21-22.9 kg/m²
5.91(2.19–16.0)
SBP ≥160 mmHgvs SBP <130 mmHg
2.49(1.01–6.13)
DBP ≥100 mmHgvs DBP <80 mmHg
2.87(1.23–6.68)
Diabetesvs Non-diabetes
5.16(2.14–12.4)
Current smokers ≥20 cigarettes/dayvs Never smokers
2.24(0.92–5.49)
≥2 risk factorsvs No risk factorsrisk factors: obesity, hypertension, diabetes, current smoker
6.80(3.69–12.5)
Cases of HF identified
85

Observational data: associations, not effects.

Original publication

Risk Factors for Pre-Heart Failure or Symptomatic Heart Failure Based on NT-proBNP. ESC Heart Fail. Published 24 September 2022. doi:10.1002/ehf2.14149

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