Heart Failure Life Expectancy Calculator (MAGGIC Risk Score)

Your details

Patient age in years. The MAGGIC model was validated in adults aged 18 and over.
years
Biological sex. Male sex carries +1 point in the MAGGIC model.
Body weight used to calculate BMI. Lower BMI in heart failure predicts worse outcomes.
kg
Height used to calculate BMI.
cm
Left ventricular ejection fraction in percent. EF below 40% is reduced (HFrEF); 40-49% is mildly reduced (HFmrEF); 50% or above is preserved (HFpEF).
%
New York Heart Association functional classification. Class IV (symptoms at rest) carries the highest point penalty.
Resting systolic blood pressure in mmHg. Lower SBP in heart failure indicates worse prognosis.
mmHg
Serum creatinine level. Higher values indicate worse kidney function and carry more MAGGIC points. Metric: µmol/L; Imperial: mg/dL.
µmol/L
Diagnosed diabetes mellitus (type 1 or type 2). Adds +3 MAGGIC points.
Diagnosed chronic obstructive pulmonary disease. Adds +2 MAGGIC points.
Currently smoking cigarettes or tobacco. Adds +1 MAGGIC point.
Whether the heart failure diagnosis is at least 18 months old. Longer-standing HF adds +2 MAGGIC points.
Currently taking an ACE inhibitor (e.g. lisinopril, ramipril) or angiotensin receptor blocker (e.g. valsartan, losartan). Absence adds +1 MAGGIC point.
Currently taking a beta-blocker (e.g. carvedilol, metoprolol, bisoprolol). Absence adds +3 MAGGIC points - the highest medication penalty.
MAGGIC Risk ScoreIntermediate risk (tertile 2)
14

Total integer risk score (0-52). Higher means greater mortality risk.

1-Year Mortality Risk0.1%
1-Year Survival0.9%
3-Year Mortality Risk0.2%
3-Year Survival0.8%
BMI26kg/m²
EF CategoryReduced (HFrEF, EF < 40%)
14 pts
Lower risk<13Intermediate13-20Higher risk20+

MAGGIC score 14 - intermediate-risk category. Estimated 1-year survival: 90%.

  • Estimated 1-year survival is 90% (mortality risk 9.8%).
  • Estimated 3-year survival is 76% (mortality risk 24.3%).

Next stepRegular cardiology review and optimisation of evidence-based therapy are important. Discuss whether device therapy (ICD, CRT) or advanced HF options apply to you.

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