Original Investigation

β-Blocker Use and Health Status Among Patients With Heart Failure With Preserved Ejection Fraction

JAMA Network Open 10.1001/jamanetworkopen.2025.29519

August 28, 2025 at 11:00 AM EDT

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Among patients with heart failure with preserved ejection fraction (HFpEF), is β-blocker use associated with health status or modification of the health status benefits of spironolactone?In this cohort study of 1726 patients with HFpEF from the TOPCAT randomized clinical trial, β-blocker use had no significant association with concurrent health status or modification of the health status benefits of spironolactone at 4 months.These findings suggest that further study is needed to clarify the association of β-blockers with health status among patients with HFpEF, particularly across the range of LVEF.

Corresponding Author: Mohammad Abdel Jawad, MD, Division of Cardiology, Saint Luke’s Mid America Heart Institute, 4401 Wornall Rd, Kansas City, MO 64111 (abdeljawadmd@gmail.com).

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