Evidence mapPaperPMID 39890046Full record

ReviewCurrent problems in cardiology2025

Real-world efficacy of tirzepatide in patients with heart failure without diabetes.

Silvio Nunes Augusto, David Kaelber, W H Wilson Tang

Abstract readReview
In one paragraph

Review in Current problems in cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
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

3 authors.

Silvio Nunes AugustoDepartment of Cardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland, OH, United States; MetroHealth System, Cleveland, OH, United States.
David KaelberCenter for Clinical Informatics Research and Education, The MetroHealth System and the Departments of Internal Medicine, Pediatrics, and Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, United States.
W H Wilson TangDepartment of Cardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland, OH, United States; Department of Cardiovascular Medicine, Cleveland Clinic, Vascular and Thoracic Institute, Cleveland, OH, United States; Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, United States. Electronic address: tangw@ccf.org.

Funding

Clinical and Translational Science Collaborative of Northern Ohio, Catalyzing Linkages for Everyone's Health (CLE Health)UM1TR004528 · CASE WESTERN RESERVE UNIVERSITY · 2025 to 2025
$7.9M
NCATS NIH HHS UM1 TR004528
6 · The paper itself

Abstract

backgroundTirzepatide, a dual agonist of glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptors, has shown significant cardiovascular benefits in clinical trials. This study investigates the real-world impact of tirzepatide on heart failure (HF) outcomes, leveraging data from the TriNetX platform.

methodsUsing data from January 1, 2013, to December 01, 2024, we conducted a propensity-matched analysis of two cohorts of patients with HF without diabetes, where the only difference was the use of tirzepatide. The primary outcome was the incidence of acute heart failure (acute HF), with secondary outcomes including major adverse cardiovascular events (MACE), chronic kidney disease (CKD), stroke, and coronary arterial disease (CAD).

resultsAfter propensity-matching, 897 patients were compared between the two cohorts in a 4-year follow-up, showing that untreated patients were at higher risk of incident acute HF (HR: 3.12, 95 %CI = 2.240-4.349, log-rank p < 0.001) and MACE (HR: 3.57, 95 %CI = 2.32-5.48, log-rank p < 0.001). Stroke (HR: 2.796, 95 %CI = 1.353-5.776, log-rank p < 0.01), CKD (HR: 1.48, 95 %CI: 1.08-2.03, log-rank p = 0.015), and CAD (HR: 1.474, 95 %CI,1.169-1.859, log-rank p = 0.001) outcomes also favored the treatment cohort.

conclusionTirzepatide presents a promising therapeutic option for managing heart failure, with significant metabolic and cardiovascular benefits. These real-world findings reinforce its potential role as a transformative treatment in improving clinical outcomes and quality of life for patients with HF without diabetes.

Indexed as

Heart FailureAgedFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedRetrospective StudiesTirzepatideTreatment OutcomeTirzepatideHeart failurePrognosisTirzepatide

Identifiers

PMID39890046
PMCPMC12090002

What Socratic holds

Texttitle and abstract
LicenceCC BY
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 Socratic graph.