# Prognose van HFmrEF: systematische review en meta-analyse

*geplaatst 2018-12-01 · Hartfalen · ESC heart failure · doi 10.1002/ehf2.12353 · https://hartvaat.nl/2018/12/01/prognose-van-hfmref-systematische-review-en-meta-analyse/*

Systematische review en meta-analyse van de prognose van hartfalen met middenbereik ejectiefractie (HFmrEF) vergeleken met HFrEF en HFpEF.

## English: The prognosis of mid-range ejection fraction heart failure: a systematic review and meta-analysis.

This meta-analysis characterized the prognosis of heart failure with mid-range ejection fraction (HFmrEF), showing intermediate outcomes between HFrEF and HFpEF and supporting its classification as a distinct entity.

## Abstract (original, from the publication)

AIMS: Mid-range ejection fraction is a new entity of heart failure (HF) with undetermined prognosis till now. In our systematic review and meta-analysis, we assess the mortality and hospitalization rates in mid-range ejection fraction HF (HFmrEF) and compare them with those of reduced ejection fraction heart failure (HFrEF) and preserved ejection fraction HF (HFpEF). METHODS AND RESULTS: We conducted our search in March 2018 in the following databases for relevant articles: PubMed, CENTRAL, Google Scholar, Web of Science, Scopus, NYAM, SIEGLE, GHL, VHL, and POPLINE. Our primary endpoint was assessing all-cause mortality and all-cause hospital re-admission rates in HFmrEF in comparison with HFrEF and HFpEF. Secondary endpoints were the possible causes of death and hospital re-admission. Twenty-five articles were included in our meta-analysis with a total of 606 762 adult cardiac patients. Our meta-analysis showed that HFmrEF had a lower rate of all-cause death than had HFrEF [relative risk (RR), 0.9; 95% confidence interval (CI), 0.85-0.94]. HFpEF showed a higher rate of cardiac mortality than did HFmrEF (RR, 1.09; 95% CI, 1.02-1.16). Also, HFrEF had a higher rate of non-cardiac mortality than had HFmrEF (RR, 1.31; 95% CI, 1.22-1.41). CONCLUSIONS: We detected a significant difference between HFrEF and HFmrEF regarding all-cause death, and non-cardiac death, while HFpEF differed significantly from HFmrEF regarding cardiac death.

Auteurs: Saif Altaie, Wissam Khalife

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Bron: ESC heart failure, https://doi.org/10.1002/ehf2.12353. Bijgewerkt 2026-07-03T18:38:41Z. Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.