Heart failure & cardiomyopathies

Tirzepatide Reduces Left Ventricular (LV) Mass and Paracardiac Adipose Tissue in Obesity-Related Heart Failure: SUMMIT Cardiac Magnetic Resonance (CMR) Substudy

J Am Coll CardiolPublished Secondary analysis of the SUMMIT randomised trial

Primary result · LV massResult — go to the resultDifference −11 g 95% CI −19 to −4

Authors' conclusion

The CMR substudy of the SUMMIT trial demonstrated that tirzepatide therapy in obesity-related HFpEF led to reduced LV mass and paracardiac adipose tissue as compared with placebo, and the change in LV mass paralleled weight loss.

Study context

Population
Patients with obesity-related heart failure with preserved ejection fraction (HFpEF)106 analysed
Participants
175 patients
Comparison
Tirzepatide vs placebo
  • Tirzepatiden = 50
  • Placebon = 56reference
Primary endpoint
Between-group changes in LV mass (CMR)
Follow-up
52 weeks
Methodological detailsCMR substudy, placebo-controlled
  • CMR substudy
  • Placebo-controlled

Primary result

LV mass

Difference

−11 g

95% CI −19 to −4

P = 0.004

Tirzepatidevs Placebo
difference −11 g (95% CI −19 to −4); P = 0.004

As reported in the abstract

Further findings

OutcomeDifference (mL) (95% CI)P value
Paracardiac (epicardial plus pericardial) adipose tissue · 52 weeksPlacebo-corrected decrease−45 (−69 to −22)P < 0.001

Correlates of LV mass change (tirzepatide)

Correlated with change in body weight
P < 0.02
Tended to correlate with changes in waist circumference and BP
P = 0.06
Correlated with changes in LV end-diastolic volume and left atrial end-diastolic and end-systolic volumes
P < 0.03

Original publication

Tirzepatide Reduces LV Mass and Paracardiac Adipose Tissue in Obesity-Related Heart Failure: SUMMIT CMR Substudy. J Am Coll Cardiol. Published 18 November 2024. doi:10.1016/j.jacc.2024.11.001

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

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