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Use of sodium glucose co-transporter 2 inhibitors in acute heart failure: a practical guidance.

ABSTRACT:

Aims

Heart failure (HF) is the most frequent cause of hospital admission among patients 65 years or older. Patients hospitalized for acutely decompensated chronic HF and 'de novo' acute heart failure (AHF) continue to experience unacceptably high post-discharge readmission and mortality rates.

Methods and results

Until recently, trials had failed to improve outcome in patients with AHF irrespective of ejection fraction with exception of sodium-glucose co-transporter 2 inhibitors (SGLT2i) that improved clinical outcomes in patients hospitalized for AHF in the Study to Test the Effect of Empagliflozin in Patients Who Are in Hospital for Acute Heart Failure (EMPULSE) and in the Effect of Sotagliflozin on Cardiovascular Events in Patients With Type 2 Diabetes Post Worsening Heart Failure (SOLOIST-WHF) trials.

Conclusions

This document reviews the potential utility of SGLT2i in patients hospitalized for AHF.

SUBMITTER: Ferreira JP

PROVIDER: S-EPMC9773770 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Use of sodium glucose co-transporter 2 inhibitors in acute heart failure: a practical guidance.

Ferreira João Pedro JP Pimenta Joana J Moura Brenda B Aguiar Carlos C Franco Fátima F

ESC heart failure 20220825 6

<h4>Aims</h4>Heart failure (HF) is the most frequent cause of hospital admission among patients 65 years or older. Patients hospitalized for acutely decompensated chronic HF and 'de novo' acute heart failure (AHF) continue to experience unacceptably high post-discharge readmission and mortality rates.<h4>Methods and results</h4>Until recently, trials had failed to improve outcome in patients with AHF irrespective of ejection fraction with exception of sodium-glucose co-transporter 2 inhibitors ( ...[more]

PMID: 36004699

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