Heart failure & cardiomyopathies

Sex and Race Differences in Lifetime Risk of Heart Failure With Preserved Ejection Fraction and Heart Failure With Reduced Ejection Fraction

CirculationPublished Pooled analysis of 2 prospective cohort studies

Authors' conclusion

Lifetime risks for HFpEF and HFrEF vary by sex, race, and history of antecedent myocardial infarction.

Study context

Population
Participants >45 years without prevalent HF at baseline, CHS and MESA cohortsmedian follow-up 11.6 years
Participants
12,417 participants
Comparison
Lifetime risk of HF with preserved ejection fraction (HFpEF) and HF with reduced ejection fraction (HFrEF) by sex and race
Outcome
Remaining lifetime risk of HFpEF (EF ≥45%) and HFrEF (EF <45%), with mortality and the other HF subtype as competing risks
Follow-up
Index age 45 years through 90 years of age
Methodological detailsparticipant-level data, competing-risk modified Kaplan-Meier
  • Participant-level data
  • Competing-risk modified Kaplan-Meier

Pooled result

As reported in the abstract

Lifetime risk from index age 45 through 90 years

Any HF

OutcomeMenWomenNonblacksBlacks
HFrEF10.6%5.8%— not stated in the abstract— not stated in the abstract
HFpEF— not stated in the abstract— not stated in the abstract11.2%7.7%

— not stated in the abstract

Further pooled results

Lifetime risk by antecedent MI before HF diagnosis

HFpEF risk vs no antecedent MI
up to 2.5-fold higher
HFrEF risk vs no antecedent MI
4-fold higher

Original publication

Sex and Race Differences in Lifetime Risk of Heart Failure With Preserved Ejection Fraction and Heart Failure With Reduced Ejection Fraction. Circulation. Published 19 January 2018. doi:10.1161/circulationaha.117.031622

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