Prognostic role of sarcopenia in heart failure patients

Cardiovasc DiabetolPublished Retrospective cohort study

An erratum to this article was published (Cardiovasc Diabetol, 28 Feb 2026 ↗)

Authors' conclusion

Patients with chronic HF that suffered from sarcopenia show a higher risk of MACE and total mortality, independently by their chronological age.

Study context

Population
Outpatients with chronic heart failure (HF)
Participants
670 outpatients
Exposure
Sarcopenia vs no sarcopenia
  • Sarcopenicn = 340
  • Not sarcopenicn = 330reference
Outcome
MACE:
  • Non-fatal ischemic stroke
  • Non-fatal MI
  • Cardiac revascularization or coronary bypass surgery
  • CV death
Follow-up
Mean 4.7 years

Main finding

As reported in the abstract

MACE

Sarcopenic

13.3 events/100 patient-year

Not sarcopenic

2.1 events/100 patient-year

P < 0.001

Multivariate analysis: sarcopenia increased major adverse cardiac events (MACE) risk by a factor of
8.6

Observational data: associations, not effects.

Further findings

OutcomeP value
Total mortalityHigher incidence with sarcopeniaP < 0.001

Original publication

Prognostic role of sarcopenia in heart failure patients. Cardiovasc Diabetol. Published 28 October 2025. doi:10.1186/s12933-025-02949-5

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