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Heart failure (HF) affects about 1% of patients younger than 55 years, whereas the prevalence of HF increases > 10% in patients with at least 70 years of age. Despite HF with reduced ejection fraction (HFrEF) and HF with preserved ejection fraction (HFpEF), the clinical significance of HF with mildly reduced ejection fraction (HFmrEF) has gained more importance within the past years. Those patients are characterized by a left ventricular ejection fraction (LVEF) of 41-49%. However, within the current European guidelines, limited treatment recommendations in this subgroup of HF are yet available as a consequence of the limited number of studies in this field. The "Heart Failure With Mildly Reduced Ejection Fraction Registry" aims to characterize patients with HFmrEF and investigated the prognostic impact of interventional and pharmacological therapies in this subgroup of HF patients.
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| Measure | Description | Time Frame |
|---|---|---|
| All-cause mortality | All-cause mortality | 2 years. |
| Measure | Description | Time Frame |
|---|---|---|
| Change of LVEF | Change of LVEF | 2 years. |
| Change of NT-pro BNP | Change of NT-pro BNP | 2 years. |
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Inclusion Criteria:
Exclusion Criteria:
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The present study consecutively includes patients with heart failure with mildly reduced ejection fraction (HFmrEF) from 2015 to 2022.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Michael Behnes, MD | Contact | +496213836239 | michael.behnes@umm.de |
| Name | Affiliation | Role |
|---|---|---|
| Michael Behnes, MD | First Department of Medicine, University Medical Centre Mannheim, Germany. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Medical Centre Mannheim | Recruiting | Mannheim | 68167 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41452958 | Derived | Schmitt A, Akin I, Reinhardt M, Abel N, Lau F, Dudda J, Abumayyaleh M, Weidner K, Bertsch T, Duerschmied D, Behnes M, Schupp T. Albumin, urea-to-albumin ratio, or the albumin-to-creatinine ratio to predict outcomes in heart failure with mildly reduced ejection fraction. Eur J Clin Invest. 2026 Jan;56(1):e70165. doi: 10.1111/eci.70165. Epub 2025 Dec 26. | |
| 40473554 |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Heart-failure related hospitalization | Heart-failure related hospitalization | 2 years. |
| Abel N, Behnes M, Schmitt A, Reinhardt M, Lau F, Weidner K, Ayoub M, Mashayekhi K, Bertsch T, Akin I, Schupp T. Predictors and prognosis of progression of aortic valve stenosis in patients hospitalized with heart failure with mildly reduced ejection fraction. Cardiovasc Revasc Med. 2025 Oct;79:90-97. doi: 10.1016/j.carrev.2025.05.028. Epub 2025 May 29. |
| 39817535 | Derived | Reinhardt M, Behnes M, Weidner K, Abumayyaleh M, Lau F, Schmitt A, Abel N, Duerschmied D, Weiss C, Akin M, Akin I, Schupp T. Prognostic Implications of Sex in Patients With Heart Failure With Mildly Reduced Ejection Fraction: Results From a Large-Scaled Registry. J Am Heart Assoc. 2025 Jan 21;14(2):e033173. doi: 10.1161/JAHA.123.033173. Epub 2025 Jan 16. |