Selenium and Heart Failure and Immune Function

Selenium has beneficial effects on the prevention and treatment of heart failure. Higher serum selenium levels are associated with a lower risk of new-onset heart failure and with a lower risk of mortality. Now, data from a 2024 cohort study suggest that strengthened immune system function may be a mechanism that explains the positive effect of selenium [Al Mubarak 2024].

Depiction of human heart
Good heart health depends in part on adequate intake of selenium. Serum selenium status below 70 mcg/L connotes deficiency status. Selenium status below 100 mcg/L is sub-optimal status. The best estimate is that serum selenium status should be in the range of 125-135 mcg/L.

In the study, Al Mubarak et al analyzed the data from a cohort of 2,328 patients diagnosed with heart failure. Heart failure is the medical term to describe patients with a heart muscle that cannot pump as much blood out to the tissues and organs as it should. The heart is too weak or too stiff to fill up with blood and pump out blood optimally. Heart failure is frequently associated with a build-up of fluid in the lungs – causing shortness of breath – and in the lower extremities. The bottom line is that heart failure can be life-threatening [Mayo Clinic Staff 2025]. read more

Selenium Health Benefits

Selenium is an essential trace element. For our bodies and our immune systems to function well, we need adequate intakes of selenium. Our bodies cannot produce selenium. We need to get it in our diets [Cleveland Clinic 2023].

Selenium properties
Selenium is a trace element that is essential to human health. It has key physiological roles in antioxidant defense, immune function, protection against heavy metal toxicity, reproductive health, and thyroid hormone metabolism.

Who might need a selenium supplement? The answer depends where one lives. It depends upon how selenium-rich or selenium-poor the soil and the foodstuffs are in the local region. In much of North America, for example, the inhabitants generally do not need a selenium supplement. The reason: the soil and the food grown in the soil in much of North America provide adequate amounts of selenium [Cleveland Clinic 2023].

Conversely, there is a greater likelihood that people living in much of Europe and in some Middle Eastern countries will need a selenium supplement. In a systematic review, Stoffaneller & Morse documented widespread sub-optimal selenium intake and status throughout Europe, the UK, and the Middle East [Stoffaneller & Morse 2015]. read more