Evidence map›Paper›PMID 41736503›Full record

ArticleEuropean heart journal2026

Outcomes of heart failure with reduced, mildly reduced, or preserved ejection fraction: the ESC HF III registry.

Lars H Lund, Aldo P Maggioni, Maria G Crespo-Leiro, Cecile Laroche, Israel Gotsman, Belma Pojskic, Eleonora B Vataman, Lucica Grigorica, Hamayak Sisakian, Duska Glavas and 14 more

Abstract readMulticenter Study
In one paragraph

Article in European heart journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Lars H LundDepartment of Cardiology, Karolinska Institutet, Norrbacka, S1:02, 17176 Stockholm, Sweden.ORCID 0000-0003-1411-4482
Aldo P MaggioniANMCO Research Center, Heart Care Foundation, Florence, Italy.
Maria G Crespo-LeiroDepartment of Cardiology, Hospital Universitario A Coruña (CHUAC), Cardiology, INIBIC (Institute Investigacion Biomedica A Coruña), A Coruña, Spain.
Cecile LarocheEuropean Society of Cardiology, Sophia-Antipolis, France.
Israel GotsmanHadassah University Hospital, Jerusalem, Israel.
Belma PojskicCantonal Hospital Zenica, Medical Faculty University of Zenica, Zenica, Bosnia and Herzegovina.
Eleonora B VatamanHeart Failure and Cardiac Rehabilitation, Institute of Cardiology, Chisinau, Republic of Moldova.
Lucica GrigoricaDepartment of Cardiology, Emergency Hospital 'SF Apostol Andrei' Galati, Galati, Romania.
Hamayak SisakianHead of Clinic of General and Invasive Cardiology, University Hospital 1, Yerevan State Medical University, Yerevan, Armenia.
Duska GlavasDepartment of Cardiovascular Disease, Intensive Care Unit, University Hospital Split, Split, Croatia.
Dulce A BritoHeart and Vessels, Cardiology, ULS Santa Maria, Hospital Universitário, Lisboa, Portugal.
Stefan AnkerDepartment of Cardiology (CVK) of German Heart Center Charité, German Centre for Cardiovascular Research (DZHK) Partner Site Berlin, Charité Universitätsmedizin, Berlin, Germany.
Ovidiu ChioncelDepartment of Cardiology, University of Medicine Carol Davila, Bucharest, Romania.ORCID 0000-0002-3197-3628
Gerasimos FilippatosDepartment of Cardiology, Athens University Hospital Attikon, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-5640-0332
Mitja LainscakFaculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID 0000-0002-5922-4098
Theresa A McDonaghDepartment of Cardiology, King's College Hospital, London, UK.
Alexandre MebazaaUniversité Paris Cité, MASCOT Inserm Unit, Hôpitaux Universitaires Saint Louis et Lariboisière, APHP, Paris, France.ORCID 0000-0001-8715-7753
Massimo PiepoliUniversity Cardiology, IRCCS Policlinico S Donato, Via Morandi 30, 20130 San Donato Milanese, Milan, Italy.
Frank RuschitzkaDepartment of Cardiology, University Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Gianluigi SavareseDepartment of Clinical Science and Education, Södersjukjuset, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-7732-0887
Petar M SeferovićSerbian Academy of Sciences and Arts, Belgrade, Serbia.
Marco MetraMedical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Cardiology, Brescia, Italy.ORCID 0000-0001-6691-8568
Giuseppe RosanoDepartment of Human Sciences and Promotion of Quality of Life, San Raffaele Open University of Rome, Rome, Italy.ORCID 0000-0003-4023-2263
ESC EORP HF III National Leaders and Investigators

Funding

Abbott Vascular Int.Amgen CardiovascularAstraZeneca ABBayer AGBoehringer IngelheimBristol Myers SquibbDaiichi Sankyo Europe GmbHEdwards LifesciencesNovartis Pharma AGServierVifor
6 · The paper itself

Abstract

BACKGROUND AND

aimsTo assess in-hospital and 1-year cause-specific outcomes in the contemporary European Society of Cardiology (ESC) Heart Failure (HF) III Registry.

methodsPatients were enrolled in European or ESC affiliated countries and characterized in detail regarding clinical characteristics and cause-specific outcomes.

resultsBetween 1 November 2018 and 31 December 2020, 10,162 patients were enrolled from 220 centres in 41 countries. Of these, 39% had acute HF ('AHF', age 70 [62-79] years, 36% women) and 61% had out-patient visit for HF ['out-patient HF', age 66 (58-75) years, 33% women]. Overall, 58% had HF with reduced ejection fraction (HFrEF), 17% HF with mildly reduced ejection fraction (HFmrEF), and 25% HF with preserved ejection fraction (HFpEF). In AHF, median [interquartile range (IQR)] duration of hospitalization was 9 (6-14) days, and 5.1% died in hospital (HFrEF 5.2%; HFmrEF 4.8%, HFpEF 3.4%). In AHF discharged alive and in out-patient HF, after a median (IQR) follow-up of 376 (360-432) days, all-cause, cardiovascular (CV), and unknown-cause mortality rates per 100 patient-years were as follows: AHF HFrEF: 19, 13, and 3.0 per 100 patient-years. The corresponding numbers were in AHF HFmrEF: 22, 11, and 6.3; AHF HFpEF: 16, 7.0, and 4.7; out-patient HFrEF: 6.6, 4.3, and 0.9; out-patient HFmrEF: 4.0, 2.6, and 0.8; out-patient HFpEF: 3.9, 1.7, and 1.2. At least one (re-)hospitalization for HF was experienced in 44% AHF HFrEF, 42% AHF HFmrEF, 36% AHF HFpEF, 21% out-patient HFrEF, 14% out-patient HFmrEF, and 18% out-patient HFpEF.

conclusionsIn HF in Europe and affiliated countries, in-hospital mortality was 5.1% and greater with lower ejection fraction. Among hospital survivors and out-patients over 1 year of follow-up, event rates per 100 patient-years varied for death, 3.9-22, CV death 1.7-13, and unknown cause of death 0.8-6.3. The percent of patients that were (re-)hospitalized for HF at least once over 1-year follow-up ranged 14-44% and was twice as high post-AHF compared with post-out-patient visit.

Indexed as

Heart FailureStroke VolumeAgedEuropeFemaleHospitalizationHospital MortalityHumansMaleMiddle AgedRegistriesAcute heart failureChronic heart failureEjection fractionEvent ratesOutcomesRegistryTrial design

Identifiers

PMID41736503
PMCPMC13183174

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.