Prognostic Implications of Relations of Left Ventricular Systolic Dysfunction with Body Composition and Myocardial Energy Expenditure: The Strong Heart Study

In a population-based sample of adults including ambulatory individuals with depressed LV systolic function but without overt congestive heart failure, depressed EF was associated independently with higher MEE, lower adipose mass, and higher fibrinogen. However, increased MEE and lower adipose mass predicted cardiac death independently of EF and other covariates.