Impaired LS , defined as an absolute LS < @ % , was present in @ % of patients and was predictive of the composite outcome ( adjusted hazard ratio , @ ; @ % confidence interval , @-@ @ ; P = @ ) , cardiovascular death alone ( adjusted hazard ratio , @ ; @ % confidence interval , @-@ @ ; P = @ ) , and HF hospitalization alone ( adjusted hazard ratio , @ ; @ % confidence interval , @-@ @ ; P = @ ) after adjustment for clinical and conventional echocardiographic variables .