Table 3 Clinical characteristics of the phenogroups.

From: Phenogrouping and risk stratification of patients undergoing cardiac resynchronization therapy upgrade using topological data analysis

 

Low-risk phenogroup

n = 92

Intermediate-risk phenogroup

n = 109

High-risk phenogroup

n = 94

Age, years*

75.2 (69.4–78.9)

73.8 (66.2–79.1)

72.4 (68.9–78.1)

Male*

53 (58)

82 (75)

87 (93)†‡

CRT-D*

42 (46)

31 (28)

33 (35)

NYHA functional class III-IV*

37 (40)

53 (49)

50 (53)

Medical history

 Atrial fibrillation*

59 (64)

54 (50)

45 (48)

 Diabetes mellitus*

25 (27)

43 (39)

45 (48)

 Hypertension*

72 (78)

82 (75)

70 (75)

 Ischemic etiology of HF*

2 (2)

51 (47)

94 (100)†‡

 Myocardial infarction*

1 (1)

39 (36)

63 (67)†‡

 PCI*

0 (0)

36 (33)

61 (65)†‡

 CABG*

1 (1)

21 (19)

28 (30)

 Time to upgrade, years

5.7 (2.5–9.3)

6.1 (2.4–11.2)

3.9 (1.7–7.7)

Laboratory parameters

 NT-proBNP, pg/mL (98)

2,834 (1,548–4,797)

2,847 (1,206–5,211)

3,000 (1,754–5,043)

 Creatinine, μmol/L (225)*

96 (80–111)

119 (89–149)

120 (95–151)

 GFR, mL/min/1.73m2 (225)*

65 (50–80)

53 (38–74)

53 (42–72)

Echocardiographic parameters

 LVIDd, mm (249)*

59 ± 5

60 ± 11

64 ± 7†‡

 LVIDs, mm (202)*

48 ± 5

49 ± 12

54 ± 7†‡

 LVEF, % (261)*

30 (28–35)

30 (25–35)

28 (25–32)†‡

Medications

 ACE-I/ARB

86 (94)

97 (89)

88 (94)

 Beta-blocker

85 (92)

97 (89)

87 (93)

 Loop diuretics

67 (73)

86 (79)

82 (87)

 MRA

63 (69)

78 (72)

61 (65)

 Amiodarone

15 (16)

20 (18)

15 (16)

  1. *Variables used as input features in topological data analysis.
  2. p < 0.05 vs. low-risk phenogroup, p < 0.05 vs. intermediate-risk phenogroup.
  3. The value in parenthesis after a feature’s name indicates the number of patients with available data. If no value is reported, the given feature is available for all patients. Continuous variables are expressed as mean ± standard deviation or median (interquartile range), whereas categorical variables are reported as frequencies (n) and percentages (%). The pairwise comparison of phenogroups was performed using the Kolmogorov–Smirnov test for continuous variables and Chi-squared or Fisher’s exact test for categorical variables, as appropriate.
  4. ACE-I angiotensin-converting enzyme inhibitor, ARB angiotensin receptor blocker, CABG coronary artery bypass graft surgery, CRT-D cardiac resynchronization therapy-defibrillator, GFR glomerular filtration rate, HF heart failure, LVEF left ventricular ejection fraction, LVIDd left ventricular internal diameter at end-diastole, LVIDs left ventricular internal diameter at end-systole, MRA mineralocorticoid receptor antagonist, NT-proBNP N-terminal pro-brain natriuretic peptide, NYHA New York Heart Association, PCI percutaneous coronary intervention.