Heart failure & cardiomyopathies

Serum Apolipoprotein B to Apolipoprotein A-I Ratio Predicts Mortality in Patients with Heart Failure

ESC Heart FailPublished Prognostic cohort study

Authors' conclusion

Serum ApoB/ApoA-I ratio is an independent predictor for the prognosis of HF patients.

Study context

Population
Patients with heart failure (HF)plus independent cohort n = 838
Participants
2,400 patients
Comparison
High vs low apolipoprotein B (ApoB)/apolipoprotein A-I (ApoA-I) ratio
Outcome
Prognosis (mortality)
Methodological detailstraining and validation cohorts, propensity score matching, independent validation cohort, Optimal cut-off 0.69 identified by ROC curve in training cohort, validated in validation cohort
  • Training and validation cohorts
  • Propensity score matching
  • Independent validation cohort
  • Optimal cut-off 0.69 identified by ROC curve in training cohort, validated in validation cohort

Performance

As reported in the abstract

Prognosis (multivariate analysis)
ApoB/ApoA-IHazard ratio (95% CI)P value
Training cohort
1.637(1.201–2.231)
P = 0.002
Validation cohort
1.54(1.051–2.257)
P = 0.027
PSM cohort
1.645(1.273–2.125)
P < 0.001
Independent cohort
1.987(1.251–3.155)
P = 0.004
High ApoB/ApoA-I ratio: significantly poorer prognosis vs low ratio in training, validation, propensity score matching (PSM) and independent cohorts
P < 0.05

Original publication

Serum Apolipoprotein B to Apolipoprotein A-I Ratio Predicts Mortality in Patients with Heart Failure. ESC Heart Fail. Published 11 October 2023. doi:10.1002/ehf2.14547

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