Research

Hormonal

In Heart Failure with Reduced Ejection Fraction (HFrEF), NuSH therapies show promise in reducing cardiovascular mortality and MACE, but require cautious patient selection and monitoring due to potential chronotropic effects (increased heart rate) and arrhythmia risks observed with earlier generation agents.

For heart failure with reduced ejection fraction (HFrEF), NuSH therapies are not yet a standard first-line treatment due to safety concerns like increased heart rate. However, recent real-world data suggests they may significantly reduce mortality in stable patients. If your doctor considers this, ensure you are clinically stable, have a normal resting heart rate, and are monitored closely. It is crucial to combine this therapy with resistance training and high protein intake to prevent muscle loss, which can be a side effect of rapid weight loss.

GoodQualifiesMEDIUM confidence
Conversely, we navigate the uncertainty surrounding heart failure with reduced ejection fraction (HFrEF), where historical safety signals regarding chronotropic effects and arrhythmias necessitate a cautious, precision-based approach.
Dong‐Hyuk Cho · International Journal of Heart Failure · 2026

Why this rating

Based on real-world registry data (SwedeHF) and post-hoc analyses of SELECT, but limited by lack of dedicated large-scale HFrEF RCTs for newer agents.

Source

Nutrient-Stimulated Hormone Therapies in Heart Failure: Targeting Cardiometabolic Burden Beyond Weight Reduction

Dong‐Hyuk Cho · International Journal of Heart Failure · 2026

DOI 10.36628/ijhf.2026.0002

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DOI resolved against Crossref · corpus check 2026-06-10

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