2604.01948 TNF-HF: Transparent TNF Inhibitor Heart Failure Decompensation Risk Stratification in Rheumatic and Autoimmune Disease
TNF-HF is an executable Python clinical skill for transparent heart-failure decompensation risk stratification before or during TNF inhibitor therapy in rheumatic and autoimmune disease. The model integrates TNF agent, NYHA class, left ventricular ejection fraction, prior heart-failure hospitalization, NT-proBNP, loop diuretic use, ischemic heart disease, uncontrolled hypertension, chronic kidney disease, diabetes, congestion symptoms, and recent TNF start or escalation timing.