Key result
Undiagnosed chronic kidney disease in patients with heart failure was associated with a 47% higher rate of cardiovascular death and total heart failure events compared to those without chronic kidney disease (aRR 1.47).
Why the study?
Does finerenone reduce cardiovascular death and total heart failure events in patients with heart failure and LVEF ≥40% across varying baseline chronic kidney disease statuses?
Observational (n=5,797)
Yes
Does finerenone reduce cardiovascular death and total heart failure events in patients with heart failure and LVEF ≥40% across varying baseline chronic kidney disease statuses?
Relative Risk: 1.47 (95% CI 1.23–1.76)
Absolute Event Rate: 18.6% vs 7.7%
p-value: p=<.001
Undiagnosed CKD is highly prevalent among patients with heart failure and LVEF ≥40% and is independently associated with an elevated risk of adverse cardiovascular events, yet it does not diminish the therapeutic benefit of finerenone.
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Rangaswami et al. (2025) conducted an observational in Heart failure with left ventricular ejection fraction ≥40% (n=5,797). Undiagnosed chronic kidney disease vs. No chronic kidney disease was evaluated on Composite of cardiovascular death and total heart failure events (aRR 1.47, 95% CI 1.23-1.76, p=<.001). Undiagnosed chronic kidney disease in patients with heart failure was associated with a 47% higher rate of cardiovascular death and total heart failure events compared to those without chronic kidney disease (aRR 1.47).
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