Table 1 Population characteristics.
From: Metabolomic profiling in heart failure as a new tool for diagnosis and phenotyping
Variable | Stage A (n = 130) | Stage B (n = 60) | Stage C (n = 118) | Stage D (n = 100) | P-value |
|---|---|---|---|---|---|
Demographics | |||||
Age, years | 62 [53–68] | 67 [65–74] * | 68 [61–72]* | 69 [65–73]* | < 0.000001 |
Male sex, n (%) | 60 (46.2) | 32 (53.3) | 70 (59.3) | 62 (62.0) | 0.07 |
BMI, kg/m2 | 30 [26–32] | 32 [28–25] | 32 [27–36]* | 31 [28–35] | < 0.009 |
Smoking, n (%) | 30 (25.2) | 12 (20.0) | 25 (21.4) | 12 (12.0) | 0.10 |
Clinical evaluation | |||||
Obesity | 58 (44.6) | 40 (66.7) * | 67 (56.8) | 53 (53.0) | 0.03 |
Arterial hypertension | 99 (76.2) | 50 (83.3) | 117 (99.1) | 100 (100) | < 0.0001 |
Dyslipidaemiaa | 99 (76.1) | 49 (83.1) * | 100 (84.7) * | 71 (71.0) *** | < 0.000001 |
Impaired glucose tolerance | 14 (11.9) | 11 (18.3) | 20 (16.9) | 21 (21.0) | |
Diabetes mellitus | 25 (21.2) | 17 (28.3) | 43 (36.4) * | 49 (49.0) *** | < 0.00002 |
Stroke/TIA | 1 (2.1) | 8 (18.6) | 20 (16.9) | 16 (16.0) | 0.06 |
CAD | 34 (26.2) | 48 (80.0) | 50 (83.3) | 100 (100.0) | < 0.0001 |
PCI | 12 (9.2) | 22 (36.7) * | 19 (16.1) * * | 27 (27.0) * | < 0.00002 |
CABG | 2 (4.4) | 3 (6.4) | 8 (10.3) | 5 (5.0) | 0.49 |
Previous MI | 10 (10.4) | 26 (46.4) * | 48 (61.5) * | 77 (77.0) *** | < 0.000001 |
HFpEF | 0 | 0 | 69 (58.5) | 18 (18.0) | < 0.000001 |
HFmrEF | 0 | 0 | 21 (17.8) | 29 (29.0) | |
HFrEF | 0 | 0 | 28 (23.7) | 53 (53.0) | |
Blood tests | |||||
Haemoglobin, g/L | 141.0 [132.0–153.0] | 144.0 [133.0–154.0] | 138 [129–148.0] | 132 [119.75–144.0] *,** | 0.000006 |
WBC, *109 | 6.2 [5.4–7.53] | 7.2 [5.97–8.81] * | 7.8 [6.4–9.17]* | 8.0 [6.8–9.65]*,** | < 0.00001 |
K+, mMol/L | 4.6 [4.38–4.90] | 4.5 [4.30–4.90] | 4.5 [4.30–4.97] | 4.4 [4.0–4.7]*,*** | 0.00058 |
Total cholesterol, mmol/L | 5.27 ± 1.28 | 4.57 ± 1.36* | 4.35 ± 1.37* | 3.64 ± 1.08*,** *** | < 0.000001 |
LDL, mg/dL | 3.25 [2.44–3.75] | 2.48 [1.88–3.27]* | 2.94 [1.9–3.59] | 2.13 [1.52–2.93]*,*** | < 0.0001 |
HDL, mg/dL | 1.42 [1.18–1.67] | 1.17 [1.01–1.55] | 1.04 [0.86–1.30]* | 0.95 [0.72–1.23]* | < 0.000001 |
Triglycerides, mg/dL | 1.3 [1.02–1.91] | 1.23 [1.00–1.83] | 1.36 [0.98–1.95]* | 1.09 [0.82–1.40]* | < 0.0053 |
Creatinine, mkmol/L | 91.95 [81.42–101.6] | 97.10 [84.48–110.72] | 99.5 [88.25–114.00] | 111.0 [93.75–127.25] *,**,*** | < 0.000001 |
eGFR, mL/min/1.73 m2 | 69.37 ± 15.09 | 62.42 ± 19.28* | 60.76 ± 15.71 | 54.02 ± 15.82 *,**,*** | < 0.000001 |
Fasting blood glucose, mmol/L | 5.6 [5.2–6.3] | 5.8 [5.1–6.52]* | 6.0 [5.3–7.2] | 6.0 [5.0–8.2] | 0.165 |
Uric acid, mkmol/L | 328.5 [274.8–385.2] | 353.8 [311.2–406.9] | 410.0 [311.2–482.0]* | 456.0 [361.0–529.0]*,**,*** | < 0.000001 |
CRP, mg/L | 1.57 [0.66–4.00] | 1.6 [0.70–3.00] | 4.00 [1.50–7.10]* | 9.13 [4.49–22.54]*,**, *** | < 0.000001 |
Ferrum, mkmol/L | 17.55 [15.30–22.50] | 14.10 [11.70–22.20] | 14.00 [9.7–20.95]* | 6.50 [4.00–14.70]*,**,*** | 0.000014 |
NT-proBNP, pg/mL | 51 [48–56] | 101 [46–143] | 1300 [376–3953]*,** | 3733 [1341–7250]*,**,*** | < 0.000001 |
Therapy | |||||
Beta-blocker | 63 (52.5) | 44 (73.3)* | 101 (85.6)* | 87 (87.0)* | < 0.000001 |
ACEi | 67 (56.3) | 34 (56.7) | 50 (42.4) | 30 (30.0) | 0.00036 |
ARB | 31 (25.8) | 14 (23.3) | 37 (31.4) | 18 (18.0) | 0.153 |
ARNI | 0 (0.0) | 0 (0.0) | 27 (34.6) | 49 (49.0) | < 0.0001 |
MRA | 5 (5.0) | 15 (25.0) | 77 (65.3) | 83 (83.0) | < 0.0001 |
SGLT2i | 1 (2.1) | 7 (16.3) | 18 (15.3) | 19 (19.0) | 0.051 |
Digoxin | 0 | 0 | 16 (13.6) | 31 (31.0) | 0.01 |
CCB | 32 (26.7) | 20 (33.3) | 38 (32.2) | 12 (12.0) *,**,*** | 0.0025 |
Oral anticoagulant | 24 (20.0) | 26 (43.3)* | 75 (63.6)* | 78 (78.0) *,**,*** | < 0.0001 |
Statins | 55 (45.8) | 17 (28.3) | 45 (38.1) | 52 (52.0)** | 0.0178 |
Furosemide | 0 | 0 | 78 (66.1) | 85 (85.0) | < 0.0001 |
Amiodaron | 11 (9.2) | 8 (13.3) | 14 (11.9) | 2 (2.0)**,*** | 0.033 |