Valvular & structural heart disease

GLP-1 receptor agonist treatment and cardiovascular outcomes following aortic valve replacement: a nationwide observational study

Eur J Heart FailPublished

Main finding · Composite of all-cause mortality, heart failure hospitalization, or aortic valve reoperationResult — go to the resultHazard ratio 0.69 95% CI 0.50–0.96
  • Nationwide population-based cohort study
  • propensity score-matched
  • consecutive patients
  • Western Denmark
+3 more
  • propensity score-matched
  • consecutive patients
  • Western Denmark

Authors' conclusion

Treatment with GLP-1 receptor agonists was associated with lower risk of cardiovascular outcomes including mortality following AVR among patients with severe AS.

Study context

Population
Patients with severe aortic stenosis (AS) undergoing TAVI or SAVR in Western Denmark between January, 2016 and April, 2022propensity score-matched patients included in the final analyses, among 5259 eligible patients undergoing aortic valve replacement (AVR)
Participants
292 patients
Exposure
GLP-1 receptor agonist treatment compared with controls
Outcome
Composite of:
  • All-cause mortality
  • Heart failure hospitalization
  • Aortic valve reoperation
Follow-up
Mean 4.8±2.4 years

Main finding

As reported in the abstract

Composite of:
  • All-cause mortality
  • Heart failure hospitalization
  • Aortic valve reoperation

Hazard ratio

0.69

95% CI 0.50–0.96

P = 0.029

GLP-1 receptor agonist treatment vs controls
HR 0.69 (95% CI 0.50–0.96); P = 0.029

Observational data: associations, not effects.

Secondary outcomes

OutcomeHR (95% CI)P value
All-cause mortality0.66 (0.46–0.95)P = 0.025
Heart failure hospitalization · competing risk analysis accounting for death0.67 (0.48–0.93)P = 0.018
Aortic valve reoperation · competing risk analysis accounting for death0.69 (0.49–0.98)P = 0.037

Original publication

GLP-1 receptor agonist treatment and cardiovascular outcomes following aortic valve replacement: a nationwide observational study. Eur J Heart Fail. Published 16 October 2026. doi:10.1093/ejhf/xuag313

Summarised from the published abstract; every number is checked against it