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Updated: May 9, 2026

Lumped-Parameter and Finite Element Modeling of Heart Failure with Preserved Ejection Fraction
Published on: February 13, 2021
Construction and verification of a diagnostic nomogram for heart failure in hypertrophic cardiomyopathy based on
Insights
A new nomogram accurately identifies heart failure (HF) in hypertrophic cardiomyopathy (HCM) patients using routine indicators. This tool aids in early diagnosis and personalized treatment strategies for better patient outcomes.
Area of Science:
- Cardiology
- Medical Diagnostics
Background:
- Heart failure (HF) presents diversely in patients with hypertrophic cardiomyopathy (HCM).
- Accurate identification of HF in HCM is crucial for effective management.
Purpose of the Study:
- To develop and validate a diagnostic nomogram for identifying HF in HCM patients.
- To utilize routine clinical indicators for improved diagnostic accuracy.
Main Methods:
- Development and validation of a diagnostic nomogram using clinical data.
- Inclusion of B-type natriuretic peptide (BNP), diuretic use, and myocardial ischemia as indicators.
- Assessment of model performance using Area Under the Curve (AUC), sensitivity, and specificity.
Main Results:
- The nomogram demonstrated high diagnostic performance with AUCs of 0.917 (training) and 0.929 (validation).
- Optimal thresholds yielded high sensitivity (89.1-90.9%) and specificity (79.9-82.9%).
- The model showed good calibration and provided a net clinical benefit.
Conclusions:
- The developed nomogram is a reliable tool for identifying HF in HCM patients.
- This diagnostic aid supports clinical stratification and personalized management strategies.
- Routine clinical indicators can effectively predict HF in the HCM population.
Abstract:
Heart failure (HF) manifests variably in patients with hypertrophic cardiomyopathy (HCM). This study developed and validated a diagnostic nomogram that uses routine clinical indicators to identify HF in individuals with HCM. Independent diagnostic indicators of HF in patients with HCM included B-type natriuretic peptide (BNP) (OR = 1.003, P < 0.001), diuretics (OR = 3.69, P = 0.014), and myocardial ischemia (OR = 4.99, P = 0.002). The diagnostic model demonstrated robust performance in both the training set and the validation set, yielding AUCs of 0.917 (95% CI: 0.879-0.955) and 0.929 (95% CI: 0.873-0.984), respectively. At an optimal threshold of 0.157, the training set exhibited sensitivity and specificity of 89.1% and 79.9%, respectively, while the validation set showed sensitivity and specificity of 90.9% and 82.9%, respectively. The calibration curve indicated a good fit, and DCA revealed that the model provided a net clinical benefit. In this study, the developed nomogram model accurately identifies HF in patients with HCM, aiding in diagnostic stratification and personalized management.Clinical Trial Registration This study was registered retrospectively at the Chinese Clinical Trial Registry ( http://www.chictr.org.cn/ ), registration number ChiCTR2500106648 (Registration Date: 2025-07-28).
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