Heart failure & cardiomyopathies

Metabolic dysfunction-associated steatotic liver disease and risk of heart failure: a nationwide cohort study

HeartPublished Retrospective cohort study

Main finding · Incident HFResult — go to the resultAdjusted hazard ratio 2.62 95% CI 2.39–2.86

Authors' conclusion

MASLD is independently associated with incident heart failure beyond traditional CMRFs.

Study context

Population
Adults in the Korean National Health Insurance Service screening cohort, 2009–2010, excluding other liver diseases, excessive alcohol use, cancer, cirrhosis or missing data32% with MASLD
Participants
218,605 adults
Exposure
MASLD vs no steatotic liver disease and no cardiometabolic risk factor (CMRFs)
Outcome
Incident HF
Follow-up
Median 9.6 years
Methodological detailsnationwide
  • Nationwide

Main finding

As reported in the abstract

Adjusted hazard ratio

2.62

95% CI 2.39–2.86

MASLD vs No steatotic liver disease and CMRFs
adjusted HR 2.62 (95% CI 2.39–2.86)
Incident HF cases
16 340

Observational data: associations, not effects.

Further findings

OutcomeAdjusted HR (95% CI)
HF risk per additional CMRF1.24 (1.22–1.25)

Original publication

Metabolic dysfunction-associated steatotic liver disease and risk of heart failure: a nationwide cohort study. Heart. Published 15 December 2025. doi:10.1136/heartjnl-2025-327102

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