Earlier quoted context omitted.
They are efficient but do not have as high of an energy output as a smaller and cheaper gas furnaice. Apart from that, the water temperature is lower, so you need much larger radiators. Due to the lower energy output, you also need better insulation or a relatively massive heat pump. And the tech was not around 20 years ago (for reasons unknown to me).
Is there a reason to use radiators and not just go straight to air to air pumps, which also have aircon?
In older homes there isn't necessarily HVAC at all and instead there are actual radiators. I've lived in two like that, there is just no forced air to rooms.