Heart failure & cardiomyopathies

Metabolic Dysfunction-Associated Steatotic Liver Disease is Associated with Increased Risks of Heart Failure

Eur J Heart FailPublished Retrospective cohort study

Main finding · Incident HFResult — go to the resultSubdistribution hazard ratio 2.59 95% CI 1.84–3.64

Authors' conclusion

In patients with SLD, those with MASLD show a higher risk of HF, specifically HFpEF.

Study context

Population
Patients with steatotic liver disease (SLD) without a history of heart failure (HF), 2006–202171% MASLD
Participants
26,676 patients
Exposure
MASLD vs non-MASLD
Outcome
New development of HF, sub-classified by echocardiography
Follow-up
Median 6 years
Methodological detailspropensity-score matched, multivariable adjustment
  • Propensity-score matched
  • Multivariable adjustment

Main finding

Incident HF

Subdistribution hazard ratio

2.59

95% CI 1.84–3.64

MASLD vs non-MASLD
SHR 2.59 (95% CI 1.84–3.64)

As reported in the abstract

Patients developing HF (overall)
429 (1.61%)
HF that was HF with preserved ejection fraction (HFpEF)
76%

Observational data: associations, not effects.

Further findings

OutcomeSHR (95% CI)
HF risk per additional cardiometabolic risk factorDose-dependent1.12 (1.04–1.22)
HF-related hospitalisation2.30 (1.31–4.04)
HFpEF1.91 (1.27–2.86)

HF (propensity score-matched cohorts)

MASLD associated with higher risk of HF
2.52-fold
  • Matched cohort

Original publication

Metabolic Dysfunction-Associated Steatotic Liver Disease is Associated with Increased Risks of Heart Failure. Eur J Heart Fail. Published 8 January 2025. doi:10.1002/ejhf.3567

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.