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discharge ≥3.11 had a significantly poorer prognosis than patients with FIB-4 index before discharge 3.11 (P=0.029). Patients with an FIB-4 index ≥3.11 had a 2.202-fold (95% confidence interval 1.110-4.368) increased risk of MACE compared with those with an FIB-4 index 3.11 after adjustment for male, serum creatinine, and haemoglobin. An increase in the FIB-4 index was associated with right ventricular dysfunction and a higher risk of future MACE in patients with HFpEF. An increase in the FIB-4 index was associated with right v