ESC Congress 2026 Abstract

Older estimated heart age linked to heart failure risk

Compared with the normal group, heart failure hazard ratios—measures of relative risk over time—were 2.04, 2.11, 2.96 and 1.54 across four cohorts.

Paper by S Chung, S C You, S Cho, 11 more authorsB Joung · Yonsei University
A large opened heart with branching electrical fibers and wide cavities sits beside a smaller, thicker-walled heart and groups of faceless people.
Cohort study of people without previous heart failure, against the normal groupBiomarkers

837,666 participants, multicenter

Limit: The abstract did not report follow-up duration or absolute risks

Edited by Boris Djordjevic · AgingResearch.News

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An observational study examined four groups of 112,761, 37,734, 41,552 and 93,090 people without previous heart failure in South Korea, the United Kingdom and the United States. Researchers applied an artificial intelligence model to electrocardiograms, recordings of the heart’s electrical activity, to estimate biological age. They classified an estimate as older when it exceeded a person’s actual age by more than seven years.

People in this older-age group had a higher risk of developing heart failure than those in the normal group in every cohort. The reported risk measures accounted for other factors. In one South Korean cohort, the association was similar across all three heart failure subtypes studied.

Why it matters

The researchers suggested that this noninvasive measure of biological aging may help assess future heart failure risk, including risk of different subtypes.

Caveats

These observational links do not establish cause and effect, and the findings concern people without previous heart failure. This conference abstract did not report follow-up duration or absolute risks.