Table 1

Baseline characteristics of patients from the pooled STEP-HFpEF and STEP-HFpEF-DM trials, stratified by baseline diuretic use

Baseline characteristicsaDiuretic groupP-value
No diuretic (n = 220)Non-loop diuretic only (n = 223)Loop diuretic, dose < 40 mg/day (n = 219)Loop diuretic, dose = 40 mg/day (n = 309)Loop diuretic, dose > 40 mg/day (n = 174)
Female sex, n (%)114 (51.8)108 (48.4)120 (54.8)157 (50.8)71 (40.8).14
Age, years, n (%).061
 <6588 (40.0)69 (30.9)65 (29.7)97 (31.4)49 (28.2)
 65–79116 (52.7)140 (62.8)131 (59.8)174 (56.3)105 (60.3)
 ≥8016 (7.3)14 (6.3)23 (10.5)38 (12.3)20 (11.5)
Race,bn (%)<.001
 Asian38 (17.3)14 (6.3)15 (6.8)8 (2.6)1 (0.6)
 Black or African American6 (2.7)12 (5.4)4 (1.8)14 (4.5)3 (1.7)
 Other0 (0.0)1 (0.4)3 (1.4)0 (0.0)0 (0.0)
 White176 (80.0)196 (87.9)197 (90.0)287 (92.9)170 (97.7)
Body weight, kg99.2 (90.4, 112.7)101.3 (89.5, 115.5)100.5 (87.4, 116.0)106.2 (96.0, 125.1)110.4 (97.2, 122.9)<.001
BMI, kg/m237.2 (34.1, 41.3)37.3 (34.3, 40.6)36.9 (33.6, 41.3)39.3 (35.4, 43.7)39.2 (35.3, 44.9)<.001
Waist circumference, cm117.0 (108.3, 126.0)118.4 (111.0, 127.1)118.0 (108.5, 126.0)122.0 (114.0, 132.0)124.8 (114.7, 134.6)<.001
Systolic BP, mmHg133.0 (123.0, 145.0)137.0 (127.0, 146.0)134.0 (122.0, 141.0)133.0 (124.0, 144.0)130.0 (120.0, 144.0).010
NYHA class, n (%)<.001
 II171 (77.7)170 (76.2)149 (68.0)197 (63.8)98 (56.3)
 III49 (22.3)53 (23.8)70 (32.0)110 (35.6)76 (43.7)
 IV0 (0.0)0 (0.0)0 (0.0)2 (0.6)0 (0.0)
LVEF, %60.0 (55.0, 61.0)57.0 (50.0, 60.0)55.0 (50.0, 60.0)56.0 (51.0, 60.0)55.0 (50.0, 61.0)<.001
KCCQ-CSS, score65.1 (50.5, 77.1)65.4 (49.5, 77.1)57.3 (44.3, 69.8)55.7 (39.6, 68.2)50.0 (35.4, 66.7)<.001
6MWD, metres336.3 (249.3, 399.8)338.8 (261.5, 382.0)288.9 (220.0, 362.0)265.0 (202.0, 340.0)260.6 (192.0, 340.0)<.001
CRP, mg/L3.4 (1.6, 8.0)2.7 (1.6, 5.9)3.2 (1.7, 6.5)4.7 (2.2, 9.7)4.2 (2.1, 9.5)<.001
NT-proBNP, pg/mL338.3 (207.2, 849.1)392.4 (208.9, 807.6)463.4 (258.8, 981.9)500.7 (244.8, 1091.0)785.7 (303.6, 1407.2)<.001
Comorbidities at screening, n (%)
 Hypertension153 (69.5)201 (90.1)192 (87.7)262 (84.8)151 (86.8)<.001
 Atrial fibrillation74 (33.6)89 (39.9)101 (46.1)155 (50.2)99 (56.9)<.001
 Obstructive sleep apnoea17 (7.7)26 (11.7)19 (8.7)32 (10.4)25 (14.4).11
 Coronary artery disease98 (44.5)89 (39.9)95 (43.4)99 (32.0)72 (41.4).077
 Diabetes118 (53.6)125 (56.1)124 (56.6)158 (51.1)91 (52.3).44
Concomitant medications, n (%)
 Beta blockers164 (74.5)187 (83.9)182 (83.1)251 (81.2)144 (82.8).11
 SGLT2 inhibitors35 (15.9)44 (19.7)52 (23.7)52 (16.8)38 (21.8).40
 MRAs0 (0.0)89 (39.9)85 (38.8)119 (38.5)91 (52.3)<.001
 Thiazide diuretics0 (0.0)102 (45.7)23 (10.5)31 (10)19 (10.9).052
 ACEi/ARB (ARNi)149 (67.7)194 (87.0)180 (82.2)246 (79.6)130 (74.7).32
 ARNi4 (1.8)13 (5.8)18 (8.2)13 (4.2)10 (5.7).22
 Insulin and analogues19 (8.6)20 (9.0)24 (11.0)37 (12.0)28 (16.1).013
 Sulfonylureas19 (8.6)26 (11.7)29 (13.2)19 (6.1)15 (8.6).35
 DPP-4 inhibitors27 (12.3)19 (8.5)16 (7.3)19 (6.1)11 (6.3).011
Baseline characteristicsaDiuretic groupP-value
No diuretic (n = 220)Non-loop diuretic only (n = 223)Loop diuretic, dose < 40 mg/day (n = 219)Loop diuretic, dose = 40 mg/day (n = 309)Loop diuretic, dose > 40 mg/day (n = 174)
Female sex, n (%)114 (51.8)108 (48.4)120 (54.8)157 (50.8)71 (40.8).14
Age, years, n (%).061
 <6588 (40.0)69 (30.9)65 (29.7)97 (31.4)49 (28.2)
 65–79116 (52.7)140 (62.8)131 (59.8)174 (56.3)105 (60.3)
 ≥8016 (7.3)14 (6.3)23 (10.5)38 (12.3)20 (11.5)
Race,bn (%)<.001
 Asian38 (17.3)14 (6.3)15 (6.8)8 (2.6)1 (0.6)
 Black or African American6 (2.7)12 (5.4)4 (1.8)14 (4.5)3 (1.7)
 Other0 (0.0)1 (0.4)3 (1.4)0 (0.0)0 (0.0)
 White176 (80.0)196 (87.9)197 (90.0)287 (92.9)170 (97.7)
Body weight, kg99.2 (90.4, 112.7)101.3 (89.5, 115.5)100.5 (87.4, 116.0)106.2 (96.0, 125.1)110.4 (97.2, 122.9)<.001
BMI, kg/m237.2 (34.1, 41.3)37.3 (34.3, 40.6)36.9 (33.6, 41.3)39.3 (35.4, 43.7)39.2 (35.3, 44.9)<.001
Waist circumference, cm117.0 (108.3, 126.0)118.4 (111.0, 127.1)118.0 (108.5, 126.0)122.0 (114.0, 132.0)124.8 (114.7, 134.6)<.001
Systolic BP, mmHg133.0 (123.0, 145.0)137.0 (127.0, 146.0)134.0 (122.0, 141.0)133.0 (124.0, 144.0)130.0 (120.0, 144.0).010
NYHA class, n (%)<.001
 II171 (77.7)170 (76.2)149 (68.0)197 (63.8)98 (56.3)
 III49 (22.3)53 (23.8)70 (32.0)110 (35.6)76 (43.7)
 IV0 (0.0)0 (0.0)0 (0.0)2 (0.6)0 (0.0)
LVEF, %60.0 (55.0, 61.0)57.0 (50.0, 60.0)55.0 (50.0, 60.0)56.0 (51.0, 60.0)55.0 (50.0, 61.0)<.001
KCCQ-CSS, score65.1 (50.5, 77.1)65.4 (49.5, 77.1)57.3 (44.3, 69.8)55.7 (39.6, 68.2)50.0 (35.4, 66.7)<.001
6MWD, metres336.3 (249.3, 399.8)338.8 (261.5, 382.0)288.9 (220.0, 362.0)265.0 (202.0, 340.0)260.6 (192.0, 340.0)<.001
CRP, mg/L3.4 (1.6, 8.0)2.7 (1.6, 5.9)3.2 (1.7, 6.5)4.7 (2.2, 9.7)4.2 (2.1, 9.5)<.001
NT-proBNP, pg/mL338.3 (207.2, 849.1)392.4 (208.9, 807.6)463.4 (258.8, 981.9)500.7 (244.8, 1091.0)785.7 (303.6, 1407.2)<.001
Comorbidities at screening, n (%)
 Hypertension153 (69.5)201 (90.1)192 (87.7)262 (84.8)151 (86.8)<.001
 Atrial fibrillation74 (33.6)89 (39.9)101 (46.1)155 (50.2)99 (56.9)<.001
 Obstructive sleep apnoea17 (7.7)26 (11.7)19 (8.7)32 (10.4)25 (14.4).11
 Coronary artery disease98 (44.5)89 (39.9)95 (43.4)99 (32.0)72 (41.4).077
 Diabetes118 (53.6)125 (56.1)124 (56.6)158 (51.1)91 (52.3).44
Concomitant medications, n (%)
 Beta blockers164 (74.5)187 (83.9)182 (83.1)251 (81.2)144 (82.8).11
 SGLT2 inhibitors35 (15.9)44 (19.7)52 (23.7)52 (16.8)38 (21.8).40
 MRAs0 (0.0)89 (39.9)85 (38.8)119 (38.5)91 (52.3)<.001
 Thiazide diuretics0 (0.0)102 (45.7)23 (10.5)31 (10)19 (10.9).052
 ACEi/ARB (ARNi)149 (67.7)194 (87.0)180 (82.2)246 (79.6)130 (74.7).32
 ARNi4 (1.8)13 (5.8)18 (8.2)13 (4.2)10 (5.7).22
 Insulin and analogues19 (8.6)20 (9.0)24 (11.0)37 (12.0)28 (16.1).013
 Sulfonylureas19 (8.6)26 (11.7)29 (13.2)19 (6.1)15 (8.6).35
 DPP-4 inhibitors27 (12.3)19 (8.5)16 (7.3)19 (6.1)11 (6.3).011

Percentages may not equal 100% due to rounding. Data are median (Q1, Q3) unless otherwise stated and are from the full analysis set. P-values for continuous variables computed using the Jonckheere–Terpstra trend test for continuous variables, the Cochran–Armitage trend test for binary variables, and the Cochran–Mantel–Haenszel test for multinomial variables.

6MWD, 6 min walking distance; ACEi, angiotensin-converting enzyme inhibitor; ARB, angiotensin receptor blocker; ARNi, angiotensin receptor–neprilysin inhibitor; BMI, body mass index; CRP, high-sensitivity C-reactive protein; DM, diabetes mellitus; DPP-4, dipeptidyl peptidase-4; KCCQ-CSS, Kansas City Cardiomyopathy Questionnaire clinical summary score; LVEF, left ventricular ejection fraction; MRA, mineralocorticoid receptor antagonist; NT-proBNP, N-terminal pro-B-type natriuretic peptide; NYHA, New York Heart Association; Q, quartile; SGLT2, sodium–glucose cotransporter 2.

aA total of 1146 participants were randomized; however, one participant was randomized in error such that the full analysis set comprises 1145 participants.

bRace was reported by the investigator.

Table 1

Baseline characteristics of patients from the pooled STEP-HFpEF and STEP-HFpEF-DM trials, stratified by baseline diuretic use

Baseline characteristicsaDiuretic groupP-value
No diuretic (n = 220)Non-loop diuretic only (n = 223)Loop diuretic, dose < 40 mg/day (n = 219)Loop diuretic, dose = 40 mg/day (n = 309)Loop diuretic, dose > 40 mg/day (n = 174)
Female sex, n (%)114 (51.8)108 (48.4)120 (54.8)157 (50.8)71 (40.8).14
Age, years, n (%).061
 <6588 (40.0)69 (30.9)65 (29.7)97 (31.4)49 (28.2)
 65–79116 (52.7)140 (62.8)131 (59.8)174 (56.3)105 (60.3)
 ≥8016 (7.3)14 (6.3)23 (10.5)38 (12.3)20 (11.5)
Race,bn (%)<.001
 Asian38 (17.3)14 (6.3)15 (6.8)8 (2.6)1 (0.6)
 Black or African American6 (2.7)12 (5.4)4 (1.8)14 (4.5)3 (1.7)
 Other0 (0.0)1 (0.4)3 (1.4)0 (0.0)0 (0.0)
 White176 (80.0)196 (87.9)197 (90.0)287 (92.9)170 (97.7)
Body weight, kg99.2 (90.4, 112.7)101.3 (89.5, 115.5)100.5 (87.4, 116.0)106.2 (96.0, 125.1)110.4 (97.2, 122.9)<.001
BMI, kg/m237.2 (34.1, 41.3)37.3 (34.3, 40.6)36.9 (33.6, 41.3)39.3 (35.4, 43.7)39.2 (35.3, 44.9)<.001
Waist circumference, cm117.0 (108.3, 126.0)118.4 (111.0, 127.1)118.0 (108.5, 126.0)122.0 (114.0, 132.0)124.8 (114.7, 134.6)<.001
Systolic BP, mmHg133.0 (123.0, 145.0)137.0 (127.0, 146.0)134.0 (122.0, 141.0)133.0 (124.0, 144.0)130.0 (120.0, 144.0).010
NYHA class, n (%)<.001
 II171 (77.7)170 (76.2)149 (68.0)197 (63.8)98 (56.3)
 III49 (22.3)53 (23.8)70 (32.0)110 (35.6)76 (43.7)
 IV0 (0.0)0 (0.0)0 (0.0)2 (0.6)0 (0.0)
LVEF, %60.0 (55.0, 61.0)57.0 (50.0, 60.0)55.0 (50.0, 60.0)56.0 (51.0, 60.0)55.0 (50.0, 61.0)<.001
KCCQ-CSS, score65.1 (50.5, 77.1)65.4 (49.5, 77.1)57.3 (44.3, 69.8)55.7 (39.6, 68.2)50.0 (35.4, 66.7)<.001
6MWD, metres336.3 (249.3, 399.8)338.8 (261.5, 382.0)288.9 (220.0, 362.0)265.0 (202.0, 340.0)260.6 (192.0, 340.0)<.001
CRP, mg/L3.4 (1.6, 8.0)2.7 (1.6, 5.9)3.2 (1.7, 6.5)4.7 (2.2, 9.7)4.2 (2.1, 9.5)<.001
NT-proBNP, pg/mL338.3 (207.2, 849.1)392.4 (208.9, 807.6)463.4 (258.8, 981.9)500.7 (244.8, 1091.0)785.7 (303.6, 1407.2)<.001
Comorbidities at screening, n (%)
 Hypertension153 (69.5)201 (90.1)192 (87.7)262 (84.8)151 (86.8)<.001
 Atrial fibrillation74 (33.6)89 (39.9)101 (46.1)155 (50.2)99 (56.9)<.001
 Obstructive sleep apnoea17 (7.7)26 (11.7)19 (8.7)32 (10.4)25 (14.4).11
 Coronary artery disease98 (44.5)89 (39.9)95 (43.4)99 (32.0)72 (41.4).077
 Diabetes118 (53.6)125 (56.1)124 (56.6)158 (51.1)91 (52.3).44
Concomitant medications, n (%)
 Beta blockers164 (74.5)187 (83.9)182 (83.1)251 (81.2)144 (82.8).11
 SGLT2 inhibitors35 (15.9)44 (19.7)52 (23.7)52 (16.8)38 (21.8).40
 MRAs0 (0.0)89 (39.9)85 (38.8)119 (38.5)91 (52.3)<.001
 Thiazide diuretics0 (0.0)102 (45.7)23 (10.5)31 (10)19 (10.9).052
 ACEi/ARB (ARNi)149 (67.7)194 (87.0)180 (82.2)246 (79.6)130 (74.7).32
 ARNi4 (1.8)13 (5.8)18 (8.2)13 (4.2)10 (5.7).22
 Insulin and analogues19 (8.6)20 (9.0)24 (11.0)37 (12.0)28 (16.1).013
 Sulfonylureas19 (8.6)26 (11.7)29 (13.2)19 (6.1)15 (8.6).35
 DPP-4 inhibitors27 (12.3)19 (8.5)16 (7.3)19 (6.1)11 (6.3).011
Baseline characteristicsaDiuretic groupP-value
No diuretic (n = 220)Non-loop diuretic only (n = 223)Loop diuretic, dose < 40 mg/day (n = 219)Loop diuretic, dose = 40 mg/day (n = 309)Loop diuretic, dose > 40 mg/day (n = 174)
Female sex, n (%)114 (51.8)108 (48.4)120 (54.8)157 (50.8)71 (40.8).14
Age, years, n (%).061
 <6588 (40.0)69 (30.9)65 (29.7)97 (31.4)49 (28.2)
 65–79116 (52.7)140 (62.8)131 (59.8)174 (56.3)105 (60.3)
 ≥8016 (7.3)14 (6.3)23 (10.5)38 (12.3)20 (11.5)
Race,bn (%)<.001
 Asian38 (17.3)14 (6.3)15 (6.8)8 (2.6)1 (0.6)
 Black or African American6 (2.7)12 (5.4)4 (1.8)14 (4.5)3 (1.7)
 Other0 (0.0)1 (0.4)3 (1.4)0 (0.0)0 (0.0)
 White176 (80.0)196 (87.9)197 (90.0)287 (92.9)170 (97.7)
Body weight, kg99.2 (90.4, 112.7)101.3 (89.5, 115.5)100.5 (87.4, 116.0)106.2 (96.0, 125.1)110.4 (97.2, 122.9)<.001
BMI, kg/m237.2 (34.1, 41.3)37.3 (34.3, 40.6)36.9 (33.6, 41.3)39.3 (35.4, 43.7)39.2 (35.3, 44.9)<.001
Waist circumference, cm117.0 (108.3, 126.0)118.4 (111.0, 127.1)118.0 (108.5, 126.0)122.0 (114.0, 132.0)124.8 (114.7, 134.6)<.001
Systolic BP, mmHg133.0 (123.0, 145.0)137.0 (127.0, 146.0)134.0 (122.0, 141.0)133.0 (124.0, 144.0)130.0 (120.0, 144.0).010
NYHA class, n (%)<.001
 II171 (77.7)170 (76.2)149 (68.0)197 (63.8)98 (56.3)
 III49 (22.3)53 (23.8)70 (32.0)110 (35.6)76 (43.7)
 IV0 (0.0)0 (0.0)0 (0.0)2 (0.6)0 (0.0)
LVEF, %60.0 (55.0, 61.0)57.0 (50.0, 60.0)55.0 (50.0, 60.0)56.0 (51.0, 60.0)55.0 (50.0, 61.0)<.001
KCCQ-CSS, score65.1 (50.5, 77.1)65.4 (49.5, 77.1)57.3 (44.3, 69.8)55.7 (39.6, 68.2)50.0 (35.4, 66.7)<.001
6MWD, metres336.3 (249.3, 399.8)338.8 (261.5, 382.0)288.9 (220.0, 362.0)265.0 (202.0, 340.0)260.6 (192.0, 340.0)<.001
CRP, mg/L3.4 (1.6, 8.0)2.7 (1.6, 5.9)3.2 (1.7, 6.5)4.7 (2.2, 9.7)4.2 (2.1, 9.5)<.001
NT-proBNP, pg/mL338.3 (207.2, 849.1)392.4 (208.9, 807.6)463.4 (258.8, 981.9)500.7 (244.8, 1091.0)785.7 (303.6, 1407.2)<.001
Comorbidities at screening, n (%)
 Hypertension153 (69.5)201 (90.1)192 (87.7)262 (84.8)151 (86.8)<.001
 Atrial fibrillation74 (33.6)89 (39.9)101 (46.1)155 (50.2)99 (56.9)<.001
 Obstructive sleep apnoea17 (7.7)26 (11.7)19 (8.7)32 (10.4)25 (14.4).11
 Coronary artery disease98 (44.5)89 (39.9)95 (43.4)99 (32.0)72 (41.4).077
 Diabetes118 (53.6)125 (56.1)124 (56.6)158 (51.1)91 (52.3).44
Concomitant medications, n (%)
 Beta blockers164 (74.5)187 (83.9)182 (83.1)251 (81.2)144 (82.8).11
 SGLT2 inhibitors35 (15.9)44 (19.7)52 (23.7)52 (16.8)38 (21.8).40
 MRAs0 (0.0)89 (39.9)85 (38.8)119 (38.5)91 (52.3)<.001
 Thiazide diuretics0 (0.0)102 (45.7)23 (10.5)31 (10)19 (10.9).052
 ACEi/ARB (ARNi)149 (67.7)194 (87.0)180 (82.2)246 (79.6)130 (74.7).32
 ARNi4 (1.8)13 (5.8)18 (8.2)13 (4.2)10 (5.7).22
 Insulin and analogues19 (8.6)20 (9.0)24 (11.0)37 (12.0)28 (16.1).013
 Sulfonylureas19 (8.6)26 (11.7)29 (13.2)19 (6.1)15 (8.6).35
 DPP-4 inhibitors27 (12.3)19 (8.5)16 (7.3)19 (6.1)11 (6.3).011

Percentages may not equal 100% due to rounding. Data are median (Q1, Q3) unless otherwise stated and are from the full analysis set. P-values for continuous variables computed using the Jonckheere–Terpstra trend test for continuous variables, the Cochran–Armitage trend test for binary variables, and the Cochran–Mantel–Haenszel test for multinomial variables.

6MWD, 6 min walking distance; ACEi, angiotensin-converting enzyme inhibitor; ARB, angiotensin receptor blocker; ARNi, angiotensin receptor–neprilysin inhibitor; BMI, body mass index; CRP, high-sensitivity C-reactive protein; DM, diabetes mellitus; DPP-4, dipeptidyl peptidase-4; KCCQ-CSS, Kansas City Cardiomyopathy Questionnaire clinical summary score; LVEF, left ventricular ejection fraction; MRA, mineralocorticoid receptor antagonist; NT-proBNP, N-terminal pro-B-type natriuretic peptide; NYHA, New York Heart Association; Q, quartile; SGLT2, sodium–glucose cotransporter 2.

aA total of 1146 participants were randomized; however, one participant was randomized in error such that the full analysis set comprises 1145 participants.

bRace was reported by the investigator.

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