Evidence mapPaperPMID 41378487Full record

ArticleJournal of the American Heart Association2025

Glucagon-Like Peptide-1 Receptor Agonists Versus Bariatric Surgery in Patients With Obesity and Heart Failure With Preserved Ejection Fraction.

Ramzi Ibrahim, William Han, Winston Wang, Ethan Kau, Nada Said, Beani Forst, Hoang N Pham, Mahmoud Abdelnabi, Mohammed Salih, Nima B Ali and 5 more

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Ramzi IbrahimDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0003-0124-9513
William HanMayo Clinic Alix School of Medicine Phoenix AZ USA.ORCID 0009-0002-9343-3392
Winston WangDepartment of Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0003-4442-174X
Ethan KauDes Moines University College of Medicine West Des Moines IA USA.ORCID 0000-0002-1570-1630
Nada SaidDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Beani ForstDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Hoang N PhamDepartment of Cardiovascular Medicine Mayo Clinic Rochester AZ USA.ORCID 0000-0001-8412-0082
Mahmoud AbdelnabiDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Mohammed SalihDepartment of Cardiology Baylor Scott and White-The Heart Hospital Plano TX USA.ORCID 0000-0002-5916-7257
Nima B AliDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0009-0004-3979-0609
Juan FarinaDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Steven J LesterDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.
Kwan LeeDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0001-6302-9925
Chadi AyoubDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0001-5877-7478
Reza ArsanjaniDepartment of Cardiovascular Medicine Mayo Clinic Phoenix AZ USA.ORCID 0000-0001-7081-4286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare the effectiveness of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) versus bariatric surgery on cardiovascular outcomes in patients with heart failure (HF) with preserved ejection fraction and obesity.

methodsUsing the TriNetX research network, we conducted a retrospective cohort study of adults (aged ≥18 years) with HF with preserved ejection fraction and obesity (body mass index >30 kg/m

resultsA total of 2747 patients were included per cohort (mean age, 68 years). GLP-1 RA therapy was associated with lower incidence of acute HF events (38.9% versus 44.6%; HR, 0.78 [95% CI, 0.72-0.85]), all-cause death (11.1% versus 14.8%; HR, 0.71 [95% CI, 0.61-0.82]), and all-cause hospitalizations (66.4% versus 77.3%; HR, 0.62 [95% CI, 0.58-0.66]). Rates of myocardial infarction (13.8% versus 13.4%; HR 0.99 [0.86-1.14]) and stroke (9.7% versus 10.7%; HR, 0.87 [0.74-1.02]) were similar between groups. Mean body mass index at follow-up was 38.0 in the GLP-1 RA cohort versus 37.7 after bariatric surgery (

conclusionsIn patients with HF with preserved ejection fraction and obesity, GLP-1 RA therapy was associated with improved outcomes compared with bariatric surgery, supporting the need for prospective trials to evaluate GLP-1 RAs as a therapeutic alternative.

Indexed as

Bariatric SurgeryGlucagon-Like Peptide-1 Receptor AgonistsHeart FailureObesityStroke VolumeAgedFemaleHumansIncretinsMaleMiddle AgedRetrospective StudiesTreatment OutcomeGlucagon-Like Peptide-1 Receptor AgonistsIncretinsheart failuremetabolic healthobesitypharmacotherapies

Identifiers

PMID41378487
PMCPMC12826936

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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.