Why the study?
Extracardiac comorbidities are highly prevalent in HFpEF, but their pathophysiological contribution to cardiac function, exercise capacity, and prognosis required investigation.
Does an extracardiac comorbidity burden impact cardiac function, exercise capacity, and prognosis in patients with HFpEF?
Does an extracardiac comorbidity burden impact cardiac function, exercise capacity, and prognosis in patients with HFpEF?
An extracardiac comorbidity burden in HFpEF is associated with impaired peripheral extraction and utilization, leading to poor clinical outcomes.
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May inform comorbidity risk stratification in HFpEF; extends observational data but leaves causal impact open.
Background: Extracardiac comorbidities are highly prevalent in patients with heart failure with preserved ejection fraction (HFpEF). We investigated the pathophysiological contribution of an extracardiac comorbidity burden to cardiac function, exercise capacity, and prognosis in patients with HFpEF. Methods: A total of 775 patients (372 HFpEF patients and 403 control subjects) underwent exercise echocardiography, with simultaneous expired gas analysis. We separated the previously validated Meta-Analysis Global Group in Chronic Heart Failure (MAGGIC) risk score into cardiac, extracardiac, and demographic categories. An Extracardiac burden was defined as an extracardiac domain score ≥ 5 (median value). Results: extraction, or worse clinical outcomes in control subjects. Conclusions: extraction and utilization in the periphery, and poor clinical outcomes.
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Saito et al. (2025) studied this question.
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