Are β-blockers necessary for patients with heart failure with preserved ejection fraction? PURSUIT-HFpEF registry

Eur J Heart FailPublished Registry-based cohort study

Authors' conclusion

In HFpEF patients without AF or IHD, β-blocker use was associated with higher mortality-related risk

Study context

Population
Patients with HFpEF in the PURSUIT-HFpEF registry, divided by atrial fibrillation (AF) and/or ischaemic heart disease (AF/ischaemic heart disease (IHD)) vs neither (non-AF/IHD)AF/IHD n = 687
Exposure
β-blocker users vs non-users, by AF/IHD status
Outcome
Outcomes by subgroup (inverse probability of treatment weighting (IPTW)-weighted)
Methodological detailssubgroup analysis, inverse probability of treatment weighting
  • Subgroup analysis
  • Inverse probability of treatment weighting

Main finding

As reported in the abstract

β-blocker vs non-β-blockerHazard ratio (95% CI)P value
non-AF/IHD: all-cause death
1.448(1.007–2.082)
P = 0.046
non-AF/IHD: cardiac death
2.380(1.406–4.027)
P = 0.001
non-AF/IHD: cardiac composite outcomes
1.441(1.018–2.039)
P = 0.039

Observational data: associations, not effects.

Original publication

Are β-blockers necessary for patients with heart failure with preserved ejection fraction? PURSUIT-HFpEF registry. Eur J Heart Fail. Published 11 March 2026. doi:10.1093/ejhf/xuag071

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.