Lipids & metabolic liver disease

Serum bile acid profiles are associated with heart failure with preserved ejection fraction in patients with metabolic dysfunction‐associated fatty liver disease: An exploratory study

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

In this exploratory study, specific UDCA and HCA species were associated with HFpEF status in adults with biopsy-confirmed MAFLD.

Study context

Population
Adults with biopsy-proven MAFLD undergoing transthoracic echocardiography for any indication; mean age 47.0 ± 12.8 years, 39.3% female
Participants
163 adults
Exposure
Patients with HFpEF vs without HFpEF
  • HFpEFn = 52
  • Pre-HFpEFn = 43
Outcome
Association between serum bile acid profile (38 bile acid (BAs), UPLC-MS/MS) and HFpEF
Methodological detailsexploratory
  • Exploratory

Main finding

As reported in the abstract

Serum BA species and HFpEF
  • Serum ursodeoxycholic acid (UDCA) and hyocholic acid (HCA) species lower in patients with HFpEF; significant after correction for multiple comparisons
  • Decreases in glycoursodeoxycholic acid and tauroursodeoxycholic acid associated with heart failure (HF) status

Observational data: associations, not effects.

Original publication

Serum bile acid profiles are associated with heart failure with preserved ejection fraction in patients with metabolic dysfunction‐associated fatty liver disease: An exploratory study. Diabetes Obes Metab. Published 14 June 2024. doi:10.1111/dom.15709

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