Heart failure & cardiomyopathies

Initiation of Statins for Primary Prevention in Heart Failure With Preserved Ejection Fraction

JACC AdvPublished Retrospective cohort study

Authors' conclusion

New statin use was associated with reduced all-cause mortality, MACE, and hospitalization in Veterans with HFpEF without prevalent ASCVD.

Study context

Population
Veterans with new heart failure with preserved ejection fraction (HFpEF) diagnosis, no known atherosclerotic cardiovascular disease (ASCVD) or prior statin use, Veterans Health Administration data 2002–201647% initiated a statin
Participants
7,970 veterans
Exposure
New statin use vs no statin
Outcome
All-cause mortality and MACE
Follow-up
mean 6.0-year follow-up
Methodological detailspropensity score overlap weighting
  • Propensity score overlap weighting

Main finding

As reported in the abstract

Statin users vs NonusersHazard ratio (95% CI)
All-cause mortality
0.78(0.73–0.83)
MACE
0.79(0.74–0.84)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
All-cause hospitalization0.69 (0.60–0.80)
HF hospitalization0.72 (0.59–0.88)

Original publication

Initiation of Statins for Primary Prevention in Heart Failure With Preserved Ejection Fraction. JACC Adv. Published 20 February 2024. doi:10.1016/j.jacadv.2024.100869

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

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