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March 23, 2026The Journal of Heart and Lung Transplantation3 citationsOpen Access

“Real-world prognostic performance of different severe and advanced heart failure definitions: data from the Swedish Heart Failure Registry”

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FGFederica GuidettiLLLars Christian; id_orcid 0000-0001-8651-6072 LundLBLina Benson

Key Result

The HFA-AdvHF definition selects a smaller, higher-risk heart failure group compared to the broader GALACTIC-Severe criteria, which identifies a population with a lower but still high risk.

Key Points

  • The study aims to evaluate the prognostic performance of various heart failure definitions in real-world settings.
  • Analyzed data from the Swedish Heart Failure Registry.
  • Compared the HFA-AdvHF and GALACTIC-Severe heart failure definitions.
  • Assessed risk groups based on NT-proBNP levels and hospitalization history.
  • The HFA-AdvHF definition identified a smaller, high-risk population.
  • GALACTIC-Severe criteria revealed a broader population with lower, yet significant risk.
  • NT-proBNP, hospitalization history, and diuretic dose were noted as potential enrichment tools for future trials.

Structured PICO

How do different severe and advanced heart failure definitions (HFA-AdvHF vs. GALACTIC-Severe) compare in prognostic performance among real-world heart failure patients?

P
Population
Heart failure patients from the Swedish Heart Failure Registry
I
Intervention
Application of HFA-AdvHF definition versus GALACTIC-Severe criteria
O
Outcome
Prognostic performance

The HFA-AdvHF and GALACTIC-Severe criteria identify distinct heart failure populations with varying risk profiles, highlighting NT-proBNP, hospitalization history, and diuretic dose as potential trial enrichment tools.

Abstract

The HFA-AdvHF definition selected a smaller, high-risk group, while the GALACTIC-Severe criteria identified a broader population, with a lower, but still high risk. NT-proBNP, HF hospitalization history, and diuretic dose might represent valuable enrichment tools for future trials.

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Cite This Study

Guidetti et al. (2026) studied this question. The HFA-AdvHF definition selects a smaller, higher-risk heart failure group compared to the broader GALACTIC-Severe criteria, which identifies a population with a lower but still high risk.

synapsesocial.com/papers/69c0ddb8fddb9876e79c11aehttps://doi.org/10.1016/j.healun.2026.03.008
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