Heart failure & cardiomyopathies

Effect of a Meal on Invasive Hemodynamics and Plasma Incretin Levels in Patients With Heart Failure

Circ Heart FailPublished Pulmonary artery catheter study with a standardized meal

Authors' conclusion

Patients with heart failure showed a blunted cardiac index response to meal intake, elevated total GLP-1 levels that were associated with hemodynamic parameters, and increased gastrointestinal symptom burden.

Study context

Population
Patients with chronic heart failure and healthy controls
Participants
14 vs 10
Comparison
Patients, compared with controls
  • Patientsn = 14
  • Controlsn = 10
Outcome
Postprandial peak in cardiac index

Main finding

As reported in the abstract

P < 0.001

Further findings

Fasting total GLP-1 levels · higher in patients

P = 0.015

Postprandial peak total GLP-1 · greater in patients

P = 0.013

Cardiac index response in the postprandial period (baseline-substracted area under the curve) · blunted in patients
P = 0.030
Gastrointestinal symptom burden · higher in patients
P = 0.033

Correlation of fasting total GLP-1 with central venous pressure

Fasting total GLP-1 concentrations correlated with central venous pressure
P = 0.025

Correlation of area under the curve total GLP-1 with cardiac index

Trend toward a correlation
P = 0.054

GIP concentrations

No change in GIP concentrations

Correlation of indigestion score with peak superior mesenteric artery blood flow

Indigestion score correlated with peak superior mesenteric artery blood flow
P = 0.017

Original publication

Effect of a Meal on Invasive Hemodynamics and Plasma Incretin Levels in Patients With Heart Failure. Circ Heart Fail. Published 7 April 2025. doi:10.1161/circheartfailure.124.012630

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