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October 13, 2025European Journal of Preventive Cardiology

Tirzepatide use was associated with a significantly lower risk of new-onset HF (HR, 0.53; 95% CI, 0.50-0.56; P < .001).

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Why the study?

It was unknown whether tirzepatide use is associated with a reduced risk of new-onset HF in patients with obesity.

Does tirzepatide reduce the risk of new-onset heart failure in adults with obesity?

Population

381,026 matched adults with obesity (BMI >30 kg/m²)

Comparison

Patients prescribed tirzepatide vs matched controls not receiving the drug

Design

Multi-center retrospective propensity score-matched cohort study

Follow-up

Within one year

Authors

JWJheng‐Yan WuKTKuan‐Jui TsengCKChia‐Li Kao

Discussion

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Overview

Hypothesis-generating for HF prevention in obesity; prospective RCTs needed before practice change.

Structured PICO

Does tirzepatide reduce the risk of new-onset heart failure in adults with obesity?

P
Population
381,026 adults with obesity (BMI >30 kg/m²) identified between January 2022 and June 2025 from the TriNetX global database.
I
Intervention
Tirzepatide
C
Comparator
Propensity score-matched controls not receiving tirzepatide
O
Outcome
Incident heart failure within one yearhard clinical

In a large retrospective cohort, tirzepatide use in adults with obesity was associated with a nearly 50% reduction in the risk of new-onset heart failure and improved 1-year cardiovascular outcomes.

Cite This Study

Wu et al. (2025) studied this question.

synapsesocial.com/papers/6a1be1550a1f7575939d1d2dhttps://doi.org/10.1093/eurjpc/zwaf663
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