Background: Heart failure (HF) research is constrained by limited access to large, shareable datasets due to privacy regulations and institutional barriers. Synthetic data generation offers a promising solution to overcome these challenges while preserving patient confidentiality. Methods: We generated synthetic HF datasets from institutional data comprising 12,552 unique patients using five deep learning models: tabular variational autoencoder (TVAE), normalizing flow, ADSGAN, SurvivalGAN, and tabular denoising diffusion probabilistic models (TabDDPM). We comprehensively evaluated synthetic data utility through statistical similarity metrics, survival prediction using machine learning and privacy assessments. Results: SurvivalGAN and TabDDPM demonstrated high fidelity to the original dataset, exhibiting similar variable distributions and survival curves after applying histogram equalization. SurvivalGAN (C-indices: 0.71-0.76) and TVAE (C-indices: 0.73-0.76) achieved the strongest performance in survival prediction evaluation, closely matched real data performance (C-indices: 0.73-0.76). Privacy evaluation confirmed protection against re-identification attacks. Conclusions: Deep learning-based synthetic data generation can produce high-fidelity, privacy-preserving HF datasets suitable for research applications. This publicly available synthetic dataset addresses critical data sharing barriers and provides a valuable resource for advancing HF research and predictive modeling.

Synthetic data is becoming an increasingly promising technology, and successful applications can improve privacy, fairness, and data democratization. While there are many methods for generating synthetic tabular data, the task remains non-trivial and unexplored for specific scenarios. One such scenario is survival data. Here, the key difficulty is censoring: for some instances, we are not aware of the time of event, or if one even occurred. Imbalances in censoring and time horizons cause generative models to experience three new failure modes specific to survival analysis: (1) generating too few at-risk members; (2) generating too many at-risk members; and (3) censoring too early. We formalize these failure modes and provide three new generative metrics to quantify them. Following this, we propose SurvivalGAN, a generative model that handles survival data firstly by addressing the imbalance in the censoring and event horizons, and secondly by using a dedicated mechanism for approximating time-to-event/censoring. We evaluate this method via extensive experiments on medical datasets. SurvivalGAN outperforms multiple baselines at generating survival data, and in particular addresses the failure modes as measured by the new metrics, in addition to improving downstream performance of survival models trained on the synthetic data.