Heart failure & cardiomyopathies

Use of Glucagon-Like Peptide-1 Receptor Agonists in Patients with Left Ventricular Assist Devices

ESC Heart FailPublished Retrospective cohort study

Main finding · Heart transplantationResult — go to the resultAdjusted odds ratio 2.514 95% CI 1.720–3.673

Authors' conclusion

GLP1-RA therapy in patients with advanced HF and LVADs is potentially associated with improved heart transplantation rates while decreasing hospitalization and acute HF event rates.

Study context

Population
Adult LVAD recipients (≥18 years)after propensity score matching (PSM)
Participants
1,036 recipients
Exposure
GLP1-RA users vs non-users
  • GLP1-RAn = 518
  • Non-GLP1-RAn = 518reference
Outcome
Heart transplantation
Methodological detailspropensity-score matched (1:1), TriNetX database, 98 healthcare organizations, Mean follow-up 311.6 ± 98.4 days (GLP1-RA) and 304.0 ± 111.5 days (non-GLP1-RA)
  • Propensity-score matched (1:1)
  • TriNetX database, 98 healthcare organizations
  • Mean follow-up 311.6 ± 98.4 days (GLP1-RA) and 304.0 ± 111.5 days (non-GLP1-RA)

Main finding

As reported in the abstract

Adjusted odds ratio

2.514

95% CI 1.720–3.673

Events by group

GLP1-RAvs Non-GLP1-RA
aOR 2.514 (95% CI 1.720–3.673)

Observational data: associations, not effects.

Further findings

OutcomeGLP1-RANon-GLP1-RAaOR (95% CI)
Acute HF eventsCI as printed55.6%68.9%0.565 (0.438–728)
All-cause hospitalizations62.5%75.3%0.548 (0.420–0.716)
All-cause mortalityNo difference6.2%— not stated in the abstract0.709 (0.442–1.138)
StrokeNo difference8.1%11.2%0.700 (0.461–1.062)
Cardiac arrestNo difference3.5%3.3%1.061 (0.541–2.082)

— not stated in the abstract

Original publication

Use of Glucagon-Like Peptide-1 Receptor Agonists in Patients with Left Ventricular Assist Devices. ESC Heart Fail. Published 13 October 2025. doi:10.1002/ehf2.15379

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