Table 3.
Comparison between HF Dashboard 1.0 and 2.0
| 1.0 | 2.0 | ||
|---|---|---|---|
| Definition | |||
| HFrEF | LVEF ≤40% | LVEF ≤40% | |
| HFmrEF | None | LVEF 41%−49% | |
| HFpEF | LVEF >40% | LVEF ≥50% | |
| Business Rules | |||
| Documented HF? | Yes | Yes | |
| LVEF used | Lowest in past 3 years | Most recent | |
| Study used | Any study | High-quality image if within 1 year; otherwise, most recent image | |
| Performance: HFrEF | |||
| Sensitivity | 97.9% | 83.0% | |
| Specificity | 35.1% | 91.9% | |
| Accuracy | 54.1% | 89.2% | |
| PPV | 39.6% | 81.9% | |
| NPV | 97.5% | 92.5% | |
| Performance: HFmrEF | |||
| Sensitivity | – | 84.1% | |
| Specificity | – | 89.1% | |
| Accuracy | – | 88.0% | |
| PPV | – | 68.7% | |
| NPV | – | 95.2% | |
| Performance: HFpEF | |||
| Sensitivity | 34.9% | 81.6% | |
| Specificity | 93.7% | 93.7% | |
| Accuracy | 53.9% | 88.0% | |
| PPV | 96.7% | 92.1% | |
| NPV | 39.6% | 85.0% | |
HF, heart failure; HFmrEF, heart failure with mid-range ejection fraction; HFpEF, heart failure with preserved ejection fraction; HFrEF, heart failure with reduced ejection fraction; LVEF, left ventricular ejection fraction; NPV, negative predictive value; PPV, positive predictive value.