TY - JOUR
T1 - Association of disproportionate liver fat with markers of heart failure
T2 - The multi-ethnic study of atherosclerosis
AU - Kusner, Jonathan
AU - Patel, Ravi B.
AU - Hu, Mo
AU - Bertoni, Alain G.
AU - Michos, Erin D.
AU - Pandey, Ambarish
AU - VanWagner, Lisa B.
AU - Shah, Sanjiv
AU - Fudim, Marat
N1 - Publisher Copyright:
© 2024 Elsevier Inc.
PY - 2024/9
Y1 - 2024/9
N2 - Background: Metabolic dysfunction associated steatotic liver disease (MASLD) has been linked to heart failure with preserved ejection fraction (HFpEF). We sought to understand association between individuals with amounts of liver adiposity greater than would be predicted by their body mass index (BMI) in order to understand whether this disproportionate liver fat (DLF) represents a proxy of metabolic risk shared between liver and heart disease. Methods: We studied 2,932 participants in the Multi-Ethnic Study of Atherosclerosis (MESA) who received computed tomography (CT) measurements of hepatic attenuation. Quartiles of DLF were compared and multivariable linear regression was performed to evaluate the association of DLF with clinical, echocardiographic, and quality of life metrics. Results: Compared to the lowest quartile of DLF, individuals in the highest quartile of DLF were more likely to be male (52.0% vs 47.1%, P < .001), less likely to be Black or African American (14.8 % vs 38.1% P < .001), have higher rates of dysglycemia (31.9% vs 16.6%, P < .001) and triglycerides (140 [98.0, 199.0] vs 99.0 [72.0, 144.0] mg/dL, P > .001). These individuals had lower global longitudinal strain (−0.13 [−0.25, −0.02], P = .02), stroke volumes (−1.05 [−1.76, −0.33], P < .01), lateral e' velocity (−0.10 [−0.18, −0.02], P = .02), and 6-minute walk distances (−4.25 [−7.62 to −0.88], P = .01). Conclusion: DLF is associated with abnormal metabolic profiles and ventricular functional changes known to be associated with HFpEF and may serve as an early metric to assess for those that may progress to clinical HFpEF.
AB - Background: Metabolic dysfunction associated steatotic liver disease (MASLD) has been linked to heart failure with preserved ejection fraction (HFpEF). We sought to understand association between individuals with amounts of liver adiposity greater than would be predicted by their body mass index (BMI) in order to understand whether this disproportionate liver fat (DLF) represents a proxy of metabolic risk shared between liver and heart disease. Methods: We studied 2,932 participants in the Multi-Ethnic Study of Atherosclerosis (MESA) who received computed tomography (CT) measurements of hepatic attenuation. Quartiles of DLF were compared and multivariable linear regression was performed to evaluate the association of DLF with clinical, echocardiographic, and quality of life metrics. Results: Compared to the lowest quartile of DLF, individuals in the highest quartile of DLF were more likely to be male (52.0% vs 47.1%, P < .001), less likely to be Black or African American (14.8 % vs 38.1% P < .001), have higher rates of dysglycemia (31.9% vs 16.6%, P < .001) and triglycerides (140 [98.0, 199.0] vs 99.0 [72.0, 144.0] mg/dL, P > .001). These individuals had lower global longitudinal strain (−0.13 [−0.25, −0.02], P = .02), stroke volumes (−1.05 [−1.76, −0.33], P < .01), lateral e' velocity (−0.10 [−0.18, −0.02], P = .02), and 6-minute walk distances (−4.25 [−7.62 to −0.88], P = .01). Conclusion: DLF is associated with abnormal metabolic profiles and ventricular functional changes known to be associated with HFpEF and may serve as an early metric to assess for those that may progress to clinical HFpEF.
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U2 - 10.1016/j.ahj.2024.05.010
DO - 10.1016/j.ahj.2024.05.010
M3 - Article
C2 - 38777028
AN - SCOPUS:85195388121
SN - 0002-8703
VL - 275
SP - 1
EP - 8
JO - American heart journal
JF - American heart journal
ER -