Evidence map›Paper›PMID 41160296›Full record

ReviewCurrent heart failure reports2025

Advances in Pharmacotherapies for Obesity-Related HFpEF: A Comprehensive Review.

Ying Wu, Meiyan Song, Xiaomin Chen, Wen Chen, Meifang Wu, Liming Lin

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current heart failure reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Exploration of the Pathogenesis and Treatment of Heart Failure.Reviews in cardiovascular medicine · 2026
    Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ying Wu *Department of Cardiology, Affiliated Hospital of Putian University, Putian, China.
Meiyan Song *Department of Cardiology, Affiliated Hospital of Putian University, Putian, China.
Xiaomin ChenDepartment of Cardiology, Affiliated Hospital of Putian University, Putian, China.
Wen ChenDepartment of Cardiology, Affiliated Hospital of Putian University, Putian, China.
Meifang WuDepartment of Cardiology, Affiliated Hospital of Putian University, Putian, China. 626549128@qq.com.
Liming LinDepartment of Cardiology, Affiliated Hospital of Putian University, Putian, China. 2533358160@qq.com.

Funding

Fujian Provincial Health Technology Project,China 2022CXA057Natural Science Foundation of Fujian Province 2024J011458Natural Science Foundation of Fujian Province 2024J08364Natural Science Foundation of Fujian Province 2025J01295
6 · The paper itself

Abstract

purpose of reviewThe global obesity epidemic has precipitated a surge in obesity-related heart failure with preserved ejection fraction (HFpEF), a distinct clinical phenotype characterized by exacerbated symptom burden, systemic inflammation, and impaired quality of life compared to non-obese HFpEF. While lifestyle modifications remain foundational, suboptimal adherence limits their efficacy. Bariatric surgery leads to the most dramatic and sustained weight loss but lacks a randomized trial for HFpEF-specific outcomes. RECENT

findingsRecent landmark trials (STEP-HFpEF, STEP-HFpEF DM, SUMMIT) demonstrate that incretin-based therapies-glucagon-like peptide-1 receptor agonists (GLP-1RAs) and dual glucose-dependent insulinotropic polypeptide/GLP-1 receptor agonists-significantly ameliorate heart failure symptoms, attenuate heart failure worsening, and induce weight loss in obese HFpEF patients, irrespective of diabetes status. However, long-term cardiovascular mortality benefits and safety profiles require further validation. Sodium-glucose cotransporter-2 inhibitors and nonsteroidal mineralocorticoid receptor antagonists MRAs exhibit prognostic benefits in HFpEF, with post hoc analyses suggesting enhanced efficacy in higher BMI subgroups. Conversely, angiotensin receptor-neprilysin inhibitors and the controlled metabolic accelerator HU6 lack randomized trials to support routine use. A combination of incretin-based therapies, SGLT2 inhibitors, and non-steroidal MRAs may represent the optimal evidence-based strategy for obesity-related HFpEF at present. Future research should prioritize standardized definitions of obesity, BMI thresholds, weight loss targets, optimal combination strategies, and long-term outcome assessments.

Indexed as

Heart FailureObesityStroke VolumeHumansIncretinsQuality of LifeSodium-Glucose Transporter 2 InhibitorsIncretinsSodium-Glucose Transporter 2 InhibitorsDual GIP/GLP-1 receptor agonistsGLP-1 receptor agonistsNon-Steroidal mineralocorticoid receptor antagonistsObesity Related HFpEFPharmacotherapiesSodium-Glucose cotransporter 2 inhibitors

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.