ESC Congress 2026 Abstract

Statins tied to survival in new heart failure inpatients in Hong Kong

Statin use was associated with lower cardiovascular death or heart failure hospitalization risk versus non-use, with hazard ratios of 0.69 and 0.68 across inflammation groups.

Paper by A Cai, W L Gu, K H Yiu · Guangdong Provincial People's Hospital
Cohort study of 6,780 patients hospitalized with newly diagnosed heart failure, against non-usersInterventions

Limit: Covered hospitalized patients in Hong Kong, not all people with heart failure

Edited by Boris Djordjevic · AgingResearch.News

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In an observational cohort study, researchers analyzed 25,786 Hong Kong patients hospitalized with newly diagnosed heart failure. Their mean age was 77.9 years; 48.6% were men. Researchers compared statin users, defined by at least 90 consecutive days of use after diagnosis, with non-users in a matched cohort totaling 6,780 patients.

Elevated C-reactive protein, a blood marker of inflammation, was present in 40% of eligible patients and was associated with poorer outcomes. Statin use was associated with lower cardiovascular death or heart failure hospitalization risk. Hazard ratios—relative measures of risk over time—were 0.69 with normal marker levels and 0.68 with elevated levels. Corresponding hazard ratios for death from any cause were 0.45 and 0.43. Among patients with elevated levels, longer statin use was associated with progressively greater reductions in cardiovascular death or heart failure hospitalization.

Why it matters

For this older population hospitalized with newly diagnosed heart failure, the study addressed whether links between statin use and outcomes varied with inflammation levels and treatment duration. The researchers called for further evaluation in randomized trials.

Caveats

This observational study could not establish that statins caused the better outcomes. It covered patients hospitalized with newly diagnosed heart failure in Hong Kong, not all people with heart failure.

The paper

Systemic inflammation, statin therapy, and clinical outcomes in heart failure: a territory-wide population-based cohort study

Guangdong Provincial People's Hospital; The University of Hong Kong

ESC Congress 2026 Abstract, Oct 26, 2026

Presented at ESC Congress 2026

doi.org/10.1093/eurheartj/ehag785.1143