Out now in @ESC_Journals from #HFC member @JavedButler1 et al.
This study evaluates the prognostic significance of residual moderate secondary mitral regurgitation in patients with heart failure after optimization of guideline-directed medical therapy. doi.org/10.1093/eschf/xvag25…
What if biomarker, functional and MACE outcomes are nested in one integrated cardiometabolic clinical trial design, without upsetting the alpha police?
Thank you @FaiezZANNAD, @JavedButler1, @ArunJSanyalVCU for an excellent #MOSAICMASH in DC!
Prof. Javed Butler makes the case for upstream #NLRP3 inhibition: targeting inflammasome activation closer to plaque-level danger signalling may matter for residual inflammatory risk.
Watch the video here: rezera.com/perspective/the-c…
Prof. Javed Butler makes the case for upstream #NLRP3 inhibition: targeting inflammasome activation closer to plaque-level danger signalling may matter for residual inflammatory risk.
Watch the video here: rezera.com/perspective/the-c…
Optimal implementation of SGLT2i to the 57.5 million US adults with T2DM, HF or CKD:
🫀 ~362,000 fewer HF 🏨/year
✅ ~224,000 deaths prevented/year
💰 $24.9 billion net savings/year
📈 ~$10 back per $1 spent (generic pricing)
#SGLT2i more than pays for itself
Albuminuria and heart failure
UACR AND HEART FAILURE: A CARDIORENAL WARNING SIGNAL
Albuminuria is more than a marker of kidney damage. It is an independent predictor of incident and worsening heart failure, hospitalization and mortality.
📊 Key messages:
🔹 HF risk rises progressively with increasing UACR—even at low levels of albuminuria.
🔹 Across multiple studies, albuminuria is associated with approximately 1.5- to 6-fold higher HF risk, depending on the population and UACR level.
🔹 Its prognostic value extends beyond kidney disease, including in patients with diabetes and atrial fibrillation.
🔹 UACR is a simple, accessible biomarker that can improve cardiorenal risk stratification.
💡 Clinical takeaway: Don’t wait for eGFR to decline. Measure UACR to identify patients at increased cardiovascular and HF risk—and act early.
#HeartFailure#Cardiorenal#Albuminuria#CKD#Cardiology#Nephrology#UACR#CardiovascularPrevention@JavedButler1@mvaduganathan@gcfmd@SJGreene_md@GianluSava@HFA_President@hfcollaboratoryacademic.oup.com/eurheartj/a…
🫀 Of 243,510 patients with newly diagnosed HF:
only 15.4% started an sMRA 😳
📉 HFrEF 29.6% | HFmrEF 14.0% | HFpEF 9.5%
🩺 Lowest uptake: HFpEF, yet <1 in 3 in HFrEF
⏱️ Median 10 days to start
🔗 doi.org/10.1016/j.cardfail.2…@HFSA#HFSA2026