{"id":6779,"date":"2023-08-26T15:06:32","date_gmt":"2023-08-26T15:06:32","guid":{"rendered":"http:\/\/wp.cov19longhaulfoundation.org\/?p=6779"},"modified":"2023-08-26T15:06:32","modified_gmt":"2023-08-26T15:06:32","slug":"weight-loss-drug-can-reverse-heart-failure-symptoms-study-finds","status":"publish","type":"post","link":"https:\/\/cov19longhaulfoundation.org\/?p=6779","title":{"rendered":"Weight-loss drug can reverse heart failure symptoms, study finds"},"content":{"rendered":"\n<p>Semaglutide injections trigger \u2018very large improvements\u2019 in patients with hearts too stiff to fill properly.<\/p>\n\n\n\n<p>Andrew Gregory&nbsp; Amsterdam  25 Aug 2023 05.55 EDT<\/p>\n\n\n\n<p>Weight-loss jabs can reverse the symptoms of heart failure, according to a global trial that experts say could revolutionise treatment.<\/p>\n\n\n\n<p>Heart failure is one of the world\u2019s fastest growing health threats. About 65 million people have the condition, with cases soaring in recent years. However, few treatment options are available.<\/p>\n\n\n\n<p>In a study that is the first of its kind, US researchers discovered that semaglutide \u2013 sold under the brand names Ozempic, Wegovy and Rybelsus \u2013 triggers \u201cvery large improvements\u201d across a wide range of symptoms.<\/p>\n\n\n\n<p>\u201cWe are talking about marked improvements in symptoms such as shortness of breath, fatigue, inability to have physical exertion, swelling,\u201d said the lead author, Dr Mikhail Kosiborod, a cardiologist and vice-president for research at Saint Luke\u2019s Mid America Heart Institute in Kansas City, Missouri. \u201cThese types of improvements can be very impactful for patients living with heart failure.\u201d<\/p>\n\n\n\n<p>\u201cIt is one of the most promising developments in this field,\u201d he added.<\/p>\n\n\n\n<p>The findings were revealed on the first day of the annual meeting of the&nbsp;<a href=\"https:\/\/www.escardio.org\/Congress-Home-2023\">European Society of Cardiology<\/a>, the world\u2019s largest heart conference. Experts not involved with the study hailed the breakthrough, saying it could have a \u201ctransformational impact\u201d on the lives of many patients.<\/p>\n\n\n\n<p>In the randomised, double-blind, placebo-controlled trial \u2013 the gold standard of medical studies \u2013 researchers used semaglutide to treat patients suffering from heart failure with preserved ejection fraction (HFpEF). This is when the heart pumps normally but is too stiff to fill properly.<\/p>\n\n\n\n<p>As many as half of patients with heart failure worldwide have HFpEF, and most of those are overweight or obese.<\/p>\n\n\n\n<p>The trial included 529 patients from 13 countries in Europe, North America, South America and Asia. All had a body mass index of more than 30, as well as heart failure symptoms and physical limitations. The median age of the group was 69 and the median weight was 105.1kg (231.7lb).<\/p>\n\n\n\n<p>One group was given 2.4mg of semaglutide once a week for a year. The other was given a placebo. Researchers assessed changes in body weight, as well as changes to heart failure-related symptoms using the clinical summary score (CSS) of the Kansas City Cardiomyopathy Questionnaire (KCCQ).<\/p>\n\n\n\n<p>They also looked at whether patients were able to perform better walking for six minutes. After 52 weeks, the mean change on the KCCQ-CSS was 16.6 points for patients on the weight-loss jabs compared with 8.7 points in the placebo group.<\/p>\n\n\n\n<p>Body weight for those on the drugs also reduced by a mean of 13.3% compared with 2.6%.<\/p>\n\n\n\n<p>The mean change to walking distance in six minutes was 21.5 metres for those on Wegovy and 1.2 metres in the placebo group.<\/p>\n\n\n\n<p>Kosiborod said he was \u201cvery excited\u201d by the trial results.<\/p>\n\n\n\n<p>\u201cThese findings are impressive and impactful. The benefits we observed with semaglutide versus placebo on these very important outcomes for patients with this type of heart failure \u2013 their symptoms and physical function \u2013 are the largest that we have ever seen with any pharmacologic intervention in this patient population.\u201d<\/p>\n\n\n\n<p>The medication \u201cproduced large improvements in symptoms, physical limitations and exercise function, reduced inflammation, and resulted in greater weight loss and fewer serious adverse events as compared with placebo\u201d.<\/p>\n\n\n\n<p>\u201cThe magnitude of the benefits we observed is the largest seen with any agent in HFpEF,\u201d he added.<\/p>\n\n\n\n<p>\u201cThis will likely have a significant impact on clinical practice, especially since there is a dearth of efficacious therapies in this vulnerable patient group.\u201d<\/p>\n\n\n\n<p>Dr Sonya Babu-Narayan, associate medical director at the British Heart Foundation and a consultant cardiologist, welcomed the findings. \u201cOnly a few years ago, drugs that could help people to achieve life-changing weight loss felt like a far-off dream,\u201d she said. \u201cBut now they are here.<\/p>\n\n\n\n<p>\u201cThis study demonstrates that semaglutide is not only safe for people with this type of heart failure but it also has important benefits for their quality of life.<\/p>\n\n\n\n<p>\u201cFor some people, living with heart failure can make everyday activities difficult or even impossible. The kind of improvements seen in this study, such as being able to walk further, could have a transformational impact on someone\u2019s life.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Semaglutide injections trigger \u2018very large improvements\u2019 in patients with hearts too stiff to fill properly. Andrew Gregory&nbsp; Amsterdam 25 Aug 2023 05.55 EDT Weight-loss jabs can reverse the symptoms of [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":6787,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[737,741,207,943,643],"tags":[],"class_list":["post-6779","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiac-failure","category-cardiovascular","category-heart","category-semaglutide","category-weight-loss-drugs"],"_links":{"self":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/posts\/6779","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6779"}],"version-history":[{"count":0,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/posts\/6779\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=\/wp\/v2\/media\/6787"}],"wp:attachment":[{"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6779"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6779"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cov19longhaulfoundation.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6779"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}