Heart failure & cardiomyopathies

Risk prediction in patients with heart failure with preserved ejection fraction: the LIFE-Preserved model

Eur Heart JPublished Prognostic model development and external validation study

Authors' conclusion

The LIFE-Preserved model enables prediction of short-term and lifetime risk of HF hospitalization or CV death in patients with HFpEF.

Study context

Population
Patients aged 40–90 years with HFpEF (LVEF ≥ 50%), Swedish heart failure (HF) Registry (derivation)derivation cohort
Participants
20,332 patients
Comparison
Trials vs Registries
Outcome
HF hospitalization or CV death (model discrimination and calibration)
Methodological detailscause- and sex-specific Cox models, age as timescale, adjusted for competing risks, external validation in 2 trials and 3 registries
  • Cause- and sex-specific Cox models
  • Age as timescale
  • Adjusted for competing risks
  • External validation in 2 trials and 3 registries

Performance

As reported in the abstract

Pooled C-statistic, external validation (HF hospitalization or CV death)

Trials

.714

pooled C-statistic · 95% CI .652-.775

Registries

.658

pooled C-statistic · 95% CI .599-.717

Further findings

HF hospitalization or cardiovascular (CV) death, derivation cohort · median follow-up 1.8 years (IQR .6-4.2, maximum 19 years)

First HF hospitalizations or CV deaths, Swedish HF Registry
9341 (46%)
First HF hospitalizations or CV deaths, external validation
9930 (35%)

Model performance by sex

Performance similar in men and women

Original publication

Risk prediction in patients with heart failure with preserved ejection fraction: the LIFE-Preserved model. Eur Heart J. Published 11 March 2026. doi:10.1093/eurheartj/ehag182

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