Journal
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
Volume 79, Issue 2, Pages 180-191Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacc.2021.11.007
Keywords
heart failure; NAFLD; NASH; nonalcoholic fatty liver disease; nonalcoholic steatohepatitis; SGLT2-inhibitors
Categories
Funding
- Southampton NIHR Biomedical Research Centre, United Kingdom [IS-BRC-20004]
- National Institutes of Health [K23-DK122104]
- Dana-Farber/Harvard Cancer Center
- School of Medicine, University of Verona, Verona, Italy
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There is a strong association between nonalcoholic fatty liver disease (NAFLD) and heart failure (HF), with higher severity of NAFLD being associated with an increased risk of new-onset HF. Patients with NAFLD may develop accelerated coronary atherosclerosis, myocardial alterations, and certain arrhythmias, which may precede and promote the development of HF.
Heart failure (HF) and nonalcoholic fatty liver disease (NAFLD) are 2 conditions that have become important global public health problems. Emerging evidence supports a strong and independent association between NAFLD and the risk of new-onset HF, and there are multiple potential pathophysiological mechanisms by which NAFLD may increase risk of new-onset HF. The magnitude of this risk parallels the underlying severity of NAFLD, especially the level of liver fibrosis. Patients with NAFLD develop accelerated coronary atherosclerosis, myocardial alterations (mainly cardiac remodeling and hypertrophy), and certain arrhythmias (mainly atrial fibrillation), which may precede and promote the development of new-onset HF. This brief narrative review aims to provide an overview of the association between NAFLD and increased risk of new-onset HF, discuss the underlying mechanisms that link these 2 diseases, and summarize targeted pharmacological treatments for NAFLD that might also reduce the risk of HF. (C) 2022 by the American College of Cardiology Foundation.
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