A TNM-LIKE STAGING SYSTEM FOR RISK STRATIFICATION IN HEART FAILURE PATIENTS

Background NYHA is the most used classification for heart failure (HF), but it does not include clinical features; we proposed HLM as a new staging system for HF, analogous to the TNM used in Oncology, which refers to heart damage (H), lung involvement (L), and malfunction (M) of peripheral organs. At 6 and 12 months patients were followed up for rehospitalization for major adverse cardiovascular and cerebrovascular events (MACCE) and cardiac death Results Comparing to NYHA, at 6 and 12 months follow-up HLM showed a greater area under the ROC curve (AUC) for MACCE as well as for cardiac death (Fig. 1).