Current opinion in cardiology

New clinical trial findings on treating obesity and heart failure

Updated

Abstract

Incretin-based therapies may improve quality of life and exercise tolerance while promoting weight loss in patients with obesity-related heart failure with preserved ejection fraction (HFpEF).

  • Randomized clinical trials indicate that glucagon-like peptide-1 receptor agonists can reduce symptoms and markers of heart failure severity.
  • Incretin-based treatments may also decrease the risk of heart failure hospitalizations in this patient population.
  • Exploratory analyses suggest that the mineralocorticoid receptor antagonist finerenone is associated with lower cardiovascular mortality and fewer worsening heart failure events across all body mass index levels.
  • Greater benefits from finerenone are observed in patients with higher body mass indexes.

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