Heart failure & cardiomyopathies

Implications of SGLT2 Inhibitors, GLP-1RAs, and Nonsteroidal MRAs on the Anticipated Burden of Heart Failure

JACC Heart FailPublished Estimate of the 10- and 30-year burden of heart failure (HF) and projected treatment impact using the PREVENT (Predicting Risk of Cardiovascular Disease Events) equation

Authors' conclusion

The projected burden of HF in the U.S. is substantial. A risk-based approach to preventive treatment may help reduce this considerably. The feasibility of such an approach deserves further investigation.

Study context

Population
Persons in the United States 30–79 years of age without cardiovascular disease at baseline
Comparison
Projected impact of sodium-glucose cotransporter 2 inhibitors, nonsteroidal mineralocorticoid receptor antagonists, and glucagon-like peptide-1 receptor agonists on the estimated burden of HF
Outcome
U.S. adults 30-79 years of age without established cardiovascular disease who will develop HF
Follow-up
Over 10 years
Methodological detailsnationally representative sample
  • Nationally representative sample

Main finding

As reported in the abstract

Sodium-glucose cotransporter 2 inhibitor

5.1 million

95% CI 4.7-5.4 million

Glucagon-like peptide-1 receptor agonists

5.2 million

95% CI 4.8-5.6 million

Nonsteroidal mineralocorticoid receptor antagonists

5.4 million

95% CI 5.0-5.7 million

Combination therapy

4.8 million

95% CI 4.4-5.2 million

Estimated U.S. adults who will develop HF, before the treatment estimates
5.5 million (95% CI: 5.1-5.8 million)

Further findings

Combination therapy in eligible persons with an estimated 10-year HF risk of ≥10%

Eligible participants
6.8 million (95% CI: 6.1-7.5 million)
Fewer cases of HF
498,000 (95% CI: −663,000 to −319,000)
Number needed to treat to prevent 1 incident case
14 (95% CI: 10-22)

Original publication

Implications of SGLT2 Inhibitors, GLP-1RAs, and Nonsteroidal MRAs on the Anticipated Burden of Heart Failure. JACC Heart Fail. Published 2 November 2026. doi:10.1016/j.jchf.2026.103475

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.