articleEuropean Heart JournalJan 28, 2025HYBRID OA

Near-universal prevalence of central adiposity in heart failure with preserved ejection fraction: the PARAGON-HF trial

Brigham and Women's Hospital · Harvard University · +22 more institutions

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Abstract

Methods

The PARAGON-HF trial randomized 4796 patients with heart failure (HF) and ejection fraction ≥45% to valsartan or sacubitril/valsartan. The current work characterizes the association of BMI and WHtR with clinical features, outcomes, and the response to neprilysin inhibition.

Results

About half (49%) of the participants were considered obese by BMI (≥30 kg/m2), but nearly every patient (96%) had central adiposity (WHtR ≥.5). Among patients who were not obese (BMI

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Funding