Heart failure & cardiomyopathies

Prognostic Value of Lipid Parameters Among Patients with Heart Failure: A Systematic Review and Meta-Analysis

ESC Heart FailPublished Systematic Review and Meta-Analysis

Authors' conclusion

Higher levels of lipids parameters were associated with lower mortality in patients with HF. Lipid parameters may improve prognostication in predictive models for patients with HF. Because of the observational nature of included studies, no claims about the causal effect of changing lipid parameters can be made.

Study context

Population
Patients with heart failure (HF)
Participants
93,286 patients52 studies
Comparison
Association of any of the four lipid parameters [total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglycerides] with mortality among patients with HF
Outcome
Mortality, univariable analysis
Methodological detailsrandom-effects model, QUIPS tool used to assess risk of bias
  • Random-effects model
  • QUIPS tool used to assess risk of bias

Pooled result

As reported in the abstract

Higher levels associated with lower mortality
HR/OR, per 10 mg/dL increment (95% CI)
TC
0.94(0.93–0.96)
HDL-C
0.89(0.80–0.99)
LDL-C
0.93(0.90–0.97)
Triglycerides
0.95(0.92–0.99)

Per 10 mg/dL increment, as printed

Further pooled results

OutcomeHR/OR (per 10 mg/dL increment) (95% CI)
Mortality, multivariable analysisTC0.95 (0.93–0.97)
Mortality, multivariable analysisLDL-C0.94 (0.89–0.99)
  • Mortality, multivariable analysis: as printed: "lower levels of TC ... were associated with lower mortality"
  • Mortality, multivariable analysis: as printed: "lower levels of ... LDL-C ... were associated with lower mortality"

Original publication

Prognostic Value of Lipid Parameters Among Patients with Heart Failure: A Systematic Review and Meta-Analysis. ESC Heart Fail. Published 24 May 2025. doi:10.1002/ehf2.15315

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