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July 1, 2019MedicineOpen Access

Prognostic significance of polyvascular disease in heart failure with preserved left ventricular ejection fraction

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Key result

The presence of polyvascular disease in HFpEF patients was associated with a higher rate of cardiovascular events compared to those without PVD (44.0% vs 20.4%; HR 2.875, 95% CI 1.894-4.365, P<.001).

Why the study?

The prognostic significance of systemic atherothrombosis in heart failure with preserved ejection fraction remains unclear.

Does the presence of polyvascular disease predict cardiovascular events in patients with HFpEF?

Population

510 consecutive HFpEF patients

Comparison

Presence vs absence of polyvascular disease

Design

Prospective observational cohort study

Follow-up

Median 1430 days

Authors

KFKoichiro FujisueKumamoto UniversityTTTakanori TokitsuKihoku hospitalEYEiichiro YamamotoSapporo Medical University

Discussion

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Implication

Polyvascular disease signals elevated CV risk in HFpEF; extends prognostic data but leaves open screening utility.

Study Design

Type

Cohort (n=510)

Structured PICO

Does the presence of polyvascular disease predict cardiovascular events in patients with HFpEF?

P
Population
510 consecutive patients with heart failure with preserved ejection fraction, followed for a median of 1430 days.
E
Exposure
Presence of polyvascular disease (PVD), defined as ≥2 coexistence of coronary artery disease, peripheral arterial disease, and cerebrovascular disease
C
Comparator
Absence of polyvascular disease (PVD)
O
Outcome
Cardiovascular eventscomposite

Main Result

Hazard Ratio: 2.875 (95% CI 1.894–4.365)

Absolute Event Rate: 44% vs 20.4%

p-value: p=<.001

The presence of polyvascular disease is a strong independent predictor of future cardiovascular events in patients with HFpEF, highlighting the importance of screening for systemic atherothrombosis in this population.

Cite This Study

Fujisue et al. (2019) conducted a cohort in Heart failure with preserved ejection fraction (HFpEF) (n=510). Polyvascular disease (PVD) vs. Without polyvascular disease was evaluated on Cardiovascular events (HR 2.875, 95% CI 1.894-4.365, p=<.001). The presence of polyvascular disease in HFpEF patients was associated with a higher rate of cardiovascular events compared to those without PVD (44.0% vs 20.4%; HR 2.875, 95% CI 1.894-4.365, P<.001).

synapsesocial.com/papers/6a21190e38e3bbbbff02ba7chttps://doi.org/10.1097/md.0000000000015959

Topics

Heart failureCoronary artery diseaseHFrEF treatmentHFpEF management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factors Associated With Outcome in Heart Failure With Preserved Ejection Fraction2010 · 257 citations
  2. 2Incremental Prognostic Significance of Peripheral Endothelial Dysfunction in Patients With Heart Failure With Normal Left Ventricular Ejection Fraction2012 · 286 citations
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  4. 4Clinical significance of brachial–ankle pulse-wave velocity in patients with heart failure with preserved left ventricular ejection fraction2017 · 33 citations
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