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# README — Cardiovascular Heart Failure Dataset
**File:** `cardiovascular_hf_dataset-3.csv`
**Rows:** 50,000 patients
**Columns:** 68 features
**Domain:** Cardiovascular medicine — Heart Failure risk prediction
-----
## Overview
This dataset contains multimodal patient-level data for heart failure (HF) risk modelling. Each row represents one patient encounter with demographic, clinical, laboratory, echocardiographic, symptomatic, pharmacological, and longitudinal variables. Three outcome targets are provided: a binary HF risk label, a future hospitalisation probability, and a 12-month survival probability.
-----
## Data Sources
|Source |N |% |
|---------------------|------|-----|
|Preventive_Cardiology|20,094|40.2%|
|Hospital_Inpatient |15,052|30.1%|
|Annual_Checkup |14,854|29.7%|
-----
## Column Dictionary
### 1. Patient Identifiers
|Column |Type|Description |
|------------|----|-----------------------------------------------|
|`Patient_ID`|str |Unique patient identifier (PT000001 – PT050000)|
|`Source` |str |Clinical setting of data collection |
-----
### 2. Demographics
|Column |Type|Range / Categories |Description |
|-----------|----|-----------------------------------------------------|-----------------------|
|`Age` |int |18 – 90 |Age in years |
|`Gender` |str |Female, Male, Other |Self-reported gender |
|`Ethnicity`|str |White, Black, Hispanic, Asian, Native_American, Other|Self-reported ethnicity|
-----
### 3. Lifestyle & Socioeconomic
|Column |Type |Range |Description |
|----------------------------|-----|---------------------------------------------|---------------------------------------------------------|
|`BMI` |float|14.0 – 58.0 |Body mass index (kg/m²) |
|`Activity_Level` |str |Sedentary / Low / Moderate / High / Very_High|Self-reported physical activity category |
|`SES_Score` |float|1.0 – 10.0 |Socioeconomic status composite score |
|`SES_Category` |str |Low / Middle / High |Derived SES category |
|`Smoking_Status` |str |Never / Former / Current |Tobacco smoking history |
|`Alcohol_Units_Week` |float|0.2 – 50.0 |Alcohol consumption (units/week) |
|`Physical_Activity_Min_Week`|float|0 – 448 |Weekly moderate-intensity exercise (minutes); ~5% missing|
|`Sleep_Hours` |float|3.0 – 11.9 |Average nightly sleep duration; ~4.9% missing |
|`Diet_Score` |float|1.0 – 10.0 |Dietary quality composite score; ~5% missing |
|`Stress_Score` |float|1.0 – 10.0 |Perceived stress score; ~4.9% missing |
-----
### 4. Comorbidities (binary flags: 0 = absent, 1 = present)
|Column |Prevalence|
|----------------------------------|----------|
|`Hypertension` |44.8% |
|`Diabetes` |28.4% |
|`CAD` (Coronary Artery Disease) |23.9% |
|`Prior_MI` (Myocardial Infarction)|4.9% |
|`Arrhythmia` |19.8% |
|`CKD` (Chronic Kidney Disease) |20.5% |
|`Family_HF_History` |24.0% |
-----
### 5. Vital Signs
|Column |Type |Range |Description |
|------------------|-----|------------|--------------------------------|
|`Heart_Rate_bpm` |int |38 – 135 |Resting heart rate (bpm) |
|`SBP_mmHg` |int |72 – 210 |Systolic blood pressure (mmHg) |
|`DBP_mmHg` |int |43 – 132 |Diastolic blood pressure (mmHg) |
|`Respiratory_Rate`|int |8 – 33 |Respiratory rate (breaths/min) |
|`SpO2_pct` |float|87.7 – 100.0|Peripheral oxygen saturation (%)|
-----
### 6. Biomarkers & Laboratory Values (~9–10% missing)
|Column |Unit |Description |
|--------------------|------|-------------------------------------------------|
|`BNP_pgmL` |pg/mL |B-type natriuretic peptide — primary HF biomarker|
|`NT_proBNP_pgmL` |pg/mL |N-terminal pro-BNP — HF severity marker |
|`Troponin_I_ngmL` |ng/mL |Cardiac troponin I — myocardial injury marker |
|`HbA1c_pct` |% |Glycated haemoglobin — glycaemic control |
|`LDL_mgdL` |mg/dL |Low-density lipoprotein cholesterol |
|`HDL_mgdL` |mg/dL |High-density lipoprotein cholesterol |
|`Triglycerides_mgdL`|mg/dL |Serum triglycerides |
|`Creatinine_mgdL` |mg/dL |Serum creatinine — renal function |
|`eGFR_mLmin` |mL/min|Estimated glomerular filtration rate |
|`Sodium_mEqL` |mEq/L |Serum sodium — electrolyte |
|`Potassium_mEqL` |mEq/L |Serum potassium — electrolyte |
|`CRP_mgL` |mg/L |C-reactive protein — systemic inflammation |
-----
### 7. Electrocardiographic (ECG) Variables
|Column |Type |Description |
|-----------------|------|-------------------------------------------|
|`QTc_Interval_ms`|int |Corrected QT interval (ms); range 340–574 |
|`QRS_Duration_ms`|int |QRS complex duration (ms); range 60–171 |
|`ST_Abnormality` |binary|ST-segment abnormality present (22.0%) |
|`LVH_Flag` |binary|Left ventricular hypertrophy on ECG (29.4%)|
|`AF_Presence` |binary|Atrial fibrillation detected (26.5%) |
-----
### 8. Echocardiographic Variables (~10% missing)
|Column |Unit |Description |
|--------------------------|------|---------------------------------------------|
|`Ejection_Fraction_pct` |% |Left ventricular ejection fraction (15–80%) |
|`LV_Wall_Thickness_mm` |mm |Left ventricular wall thickness (6–18.4 mm) |
|`Cardiomegaly` |binary|Cardiomegaly present (25.6%) |
|`Echo_Abnormalities_Score`|0–5 |Composite echocardiographic abnormality score|
-----
### 9. Symptoms (binary flags)
|Column |Prevalence|Description |
|----------------------|----------|-------------------------------------------|
|`Dyspnea` |35.4% |Shortness of breath |
|`Fatigue` |36.2% |Fatigue or generalised weakness |
|`Chest_Discomfort` |29.1% |Chest pain or pressure |
|`Peripheral_Edema` |31.9% |Ankle/leg swelling |
|`Exercise_Intolerance`|36.3% |Reduced exercise capacity |
|`Dizziness` |21.1% |Lightheadedness or dizziness |
|`Symptom_Burden_Count`|int (0–6) |Total number of symptoms present (mean 1.9)|
-----
### 10. Medications (binary flags: 0 = not prescribed, 1 = prescribed)
|Column |Prevalence|
|---------------|----------|
|`ACE_Inhibitor`|30.5% |
|`Beta_Blocker` |33.9% |
|`Diuretic` |28.6% |
|`Statin` |37.0% |
|`Anticoagulant`|28.1% |
-----
### 11. Healthcare Utilisation
|Column |Type|Range|Description |
|------------------------|----|-----|--------------------------------------------|
|`Prior_Hospitalizations`|int |0 – 9|Number of prior hospital admissions |
|`ED_Visits_Per_Year` |int |0 – 9|Emergency department visits in the past year|
-----
### 12. Longitudinal / Trend Variables (~17–18% missing)
|Column |Unit |Description |
|---------------------------|----------|----------------------------------------------------------------|
|`Weight_Fluctuation_3mo_kg`|kg |Weight change over 3 months (− = loss, + = gain) |
|`BP_Trend_mmHg_month` |mmHg/month|Blood pressure trend over recent months |
|`HRV_ms` |ms |Heart rate variability (5–88 ms; higher = better autonomic tone)|
-----
### 13. Outcome Variables
|Column |Type |Description |
|-----------------------------|-----------|---------------------------------------------------|
|`HF_Risk_Binary` |0 / 1 |Primary label — heart failure risk (26.1% positive)|
|`Future_Hospitalization_Risk`|float [0–1]|Predicted probability of future hospitalisation |
|`Survival_Probability_12mo` |float [0–1]|Predicted probability of survival at 12 months |
**Class imbalance note:** HF positive cases represent 26.1% of the dataset. Consider SMOTE, class weighting, or stratified sampling before model training.
-----
## Missing Data Summary
|Missingness tier |Columns |Approx. missing|
|-----------------|---------------------------------------------|---------------|
|Low (~5%) |Physical activity, sleep, diet, stress scores|4.9–5.0% |
|Moderate (~9–10%)|All biomarkers, echocardiographic variables |9.2–10.4% |
|High (~17–18%) |Weight fluctuation, BP trend, HRV |17.6–18.1% |
Recommended imputation strategies: median imputation or MICE for continuous variables; mode imputation for binary flags. Missing echo variables may reflect patients who did not undergo echocardiography (MCAR/MAR assumption should be validated).
-----
## Suggested Use Cases
- Binary classification: HF risk prediction (`HF_Risk_Binary`)
- Regression: 12-month survival probability or future hospitalisation risk
- Survival analysis: time-to-event modelling using `Survival_Probability_12mo`
- Missing data benchmarking: graduated missingness across feature tiers
- Multi-source generalisation studies: three distinct clinical settings
- Feature importance analysis: identifying key biomarker and symptom drivers of HF
-----
## Notes
- All Patient_IDs are unique (no duplicate rows).
- The dataset is synthetic or de-identified; do not attempt patient re-identification.
- Echocardiographic variables (`Ejection_Fraction_pct`, `LV_Wall_Thickness_mm`, `Cardiomegaly`, `Echo_Abnormalities_Score`) share a correlated missingness pattern, suggesting they are collected together as part of an echo workup.
- BNP and NT-proBNP are highly correlated; consider using only one in models to avoid multicollinearity.
- Age range spans 18–90 years; consider age-stratified analyses for paediatric-excluded adult cohorts.
-----
*README generated for `cardiovascular_hf_dataset-3.csv` — 50,000 rows × 68 columns.*