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November 3, 2025European Journal of Clinical Investigation

Angiopoietin‐like protein 2 and mortality in patients with heart failure—Results from an observational study

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Why the study?

Do elevated serum ANGPTL2 levels predict mortality in patients with heart failure?

Population

303 patients with heart failure

Comparison

Elevated serum ANGPTL2 levels (highest tertile) vs Lowest tertile of serum ANGPTL2 levels

Design

Cohort

Follow-up

5 years

Key result

Elevated serum ANGPTL2 levels (highest vs lowest tertile) were significantly associated with increased all-cause mortality in patients with heart failure (adjusted HR 1.91; 95% CI 1.13-3.23; p=0.015).

Authors

EBEva Maria BrandtnerALAndreas LeihererBLBARBARA LARCHER

Discussion

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Member takes

Overview

May enhance mortality risk stratification in heart failure; leaves open incremental value and causal role pending prospective validation.

Study Design

Type

Cohort (n=303)

Structured PICO

Do elevated serum ANGPTL2 levels predict mortality in patients with heart failure?

P
Population
303 patients with heart failure followed prospectively for 5 years to assess mortality.
E
Exposure
Elevated serum ANGPTL2 levels (highest tertile)
C
Comparator
Lowest tertile of serum ANGPTL2 levels
O
Outcome
All-cause mortalityhard clinical

Main Result

Hazard Ratio: 1.91 (95% CI 1.13–3.23)

p-value: p=0.015

Elevated circulating ANGPTL2 is an independent predictor of all-cause mortality in patients with heart failure, improving risk stratification beyond traditional factors.

Cite This Study

Brandtner et al. (2025) conducted a cohort in Heart failure (n=303). Serum ANGPTL2 levels (highest tertile) vs. Lowest tertile of ANGPTL2 levels was evaluated on All-cause mortality (HR 1.91, 95% CI 1.13-3.23, p=0.015). Elevated serum ANGPTL2 levels (highest vs lowest tertile) were significantly associated with increased all-cause mortality in patients with heart failure (adjusted HR 1.91; 95% CI 1.13-3.23; p=0.015).

synapsesocial.com/papers/6aab97837759f0cd7fcc69fahttps://doi.org/10.1111/eci.70143
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