Cohort study

Sex-specific risk factors for new-onset heart failure: the PREVEND study at 25 years

Eur Heart JPublished

  • Prospective community-based cohort study
  • 25 years of follow-up

Authors' conclusion

In this European cohort, the lifetime risk of developing HFrEF was greater in men than in women, while women were at greater risk of developing HFpEF. Eight directly and indirectly modifiable risk factors substantially accounted for the risk of developing HFrEF and HFpEF, particularly in women.

Study context

Population
European community-based cohort (PREVEND), baseline from 1997, followed until 2022804 new-onset HF cases
Participants
8,558 participants
Exposure
Women vs men
Outcome
Sex-specific lifetime risk of new-onset HFrEF (EF < 50%) and HFpEF (EF ≥ 50%), and population attributable fraction of modifiable risk factors
Follow-up
25 years

Main finding

As reported in the abstract

Lifetime risk of HF

Overall HF

HFrEF

HFpEF

Observational data: associations, not effects.

Further findings

Population attributable fraction of 8 risk factors (hypertension, hypercholesterolaemia, obesity, smoking, AF, CKD, MI, DM)

HFrEF

HFpEF

Mean age at HF onset

Population attributable fraction of 8 risk factors (hypertension, hypercholesterolaemia, obesity, smoking, AF, CKD, MI, DM)

Strongest risk factors in both sexes: hypertension and hypercholesterolaemia for HFrEF; hypertension and obesity for HFpEF

Original publication

Sex-specific risk factors for new-onset heart failure: the PREVEND study at 25 years. Eur Heart J. Published 30 December 2024. doi:10.1093/eurheartj/ehae868

Summarised from the published abstract; every number is checked against it