Lipids & metabolic liver disease

Long‐term all‐cause mortality of metabolic‐dysfunction associated steatotic liver disease based on body weight phenotypes following acute myocardial infarction: A retrospective cohort study

Diabetes Obes MetabPublished Retrospective cohort study

Authors' conclusion

Obesity and non-obesity MASLD phenotypes were predictors of all-cause mortality following AMI, with an even larger magnitude of mortality risk in the non-obesity MASLD group. The recognition of MASLD and its body weight phenotypes will be beneficial in the prognostication following AMI.

Study context

Population
Patients with acute MI (acute myocardial infarction (AMI)) in a secondary preventative cohort, stratified by MASLD and obesity
Participants
5,702 patients
Exposure
MASLD and body weight phenotypes after AMI
Outcome
All-cause mortality
Follow-up
Long-term

Main finding

As reported in the abstract

Long-term all-cause mortality
Independently associated
Hazard ratio (95% CI)P value
Non-obesity MASLD
1.400(1.077–1.820)
P = 0.012
Obesity MASLD
1.222(1.005–1.485)
P = 0.044
Non-obesity MASLD had the highest risk of all-cause long-term mortality
P = 0.019

Observational data: associations, not effects.

Further findings

Heart failure

Highest risk with non-obesity MASLD
P = 0.034

Cardiogenic shock

Highest risk with non-obesity MASLD
P < 0.001

Cardiometabolic burden

Highest in obesity MASLD, followed by non-obesity MASLD

Original publication

Long‐term all‐cause mortality of metabolic‐dysfunction associated steatotic liver disease based on body weight phenotypes following acute myocardial infarction: A retrospective cohort study. Diabetes Obes Metab. Published 11 November 2024. doi:10.1111/dom.16062

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