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Prediction of incident heart failure in individuals without prior cardiovascular disease: the SCORE2-HF risk model - PubMed

14 hours ago
  • #heart failure
  • #cardiovascular disease
  • #risk prediction
  • Development of SCORE2-HF, a risk model for predicting incident heart failure (HF) in European adults over 40 without prior cardiovascular disease.
  • Model derived from 25 prospective cohorts (611,778 individuals, 21,818 HF events) and validated in three external cohorts (1,336,824 participants, 36,841 HF events).
  • Key risk factors included age, smoking, systolic blood pressure, antihypertensive treatment, BMI, kidney function, and type 2 diabetes.
  • Model recalibrated using Europe-wide WHO statistics and health records (>36 million individuals, 515,466 HF events).
  • C-indices for validation cohorts ranged from 0.827 to 0.874, indicating strong predictive accuracy.
  • Risk varied significantly by individual factors and European region, e.g., 10-year risk for 70-year-olds with four risk factors ranged from 20-24% in low-risk regions to 59% in very high-risk regions.
  • SCORE2-HF aims to improve identification of high-risk individuals for HF prevention across Europe.