Eligibility of outpatients with chronic heart failure for sodium–glucose co‐transporter‐2 inhibitors
| Autor: | Giuseppina Piazzolla, Margherita Ilaria Gioia, Francesco Lisi, Gianmarco Angelini, Marco Matteo Ciccone, Massimo Iacoviello, Raffaella Ursi, Miriam Albanese, Maria Consiglia Bellino, Natale Daniele Brunetti, Giuseppe Parisi, Luca Amato |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class Population Heart failure 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Original Research Articles Internal medicine Diabetes mellitus Outpatients Type 2 diabetes mellitus medicine Natriuretic peptide Humans Diseases of the circulatory (Cardiovascular) system Original Research Article 030212 general & internal medicine education Sodium-Glucose Transporter 2 Inhibitors education.field_of_study Ejection fraction Symporters business.industry Sodium Sodium–glucose co‐transporter inhibitor Type 2 Diabetes Mellitus medicine.disease Glucose RC666-701 Therapy Cardiology and Cardiovascular Medicine business |
| Zdroj: | ESC Heart Failure, Vol 8, Iss 4, Pp 2951-2958 (2021) ESC Heart Failure |
| ISSN: | 2055-5822 |
| DOI: | 10.1002/ehf2.13380 |
| Popis: | Aims Sodium–glucose co‐transporter‐2 inhibitors (SGLT2i) have been shown to have a relevant role in the prevention of hospitalizations for heart failure and improvement in the life expectancy of patients with diabetes and outpatients with chronic heart failure (CHF) with reduced left ventricular ejection fraction, independently from the presence of type 2 diabetes mellitus (T2DM). The aim of our study was to evaluate in a real‐world population the number of outpatients with CHF who meet the enrolment criteria of the main randomized controlled trials (RCT) published in the last 5 years and consequently identify the percentage of patients who could potential benefit from SGLT2i therapy. Methods and results We retrospectively evaluated all consecutive outpatients referred for CHF. The diagnosis of T2DM was according to the latest European Society of Cardiology Guidelines. Clinical characteristics considered for the enrolment in the RCTs were recorded. We enrolled 515 patients, 384 (75%) of whom had a left ventricular ejection fraction (LVEF) ≤ 40%, 82 (16%) had pre‐diabetes, and 187 (36%) had diabetes. Most of the patients with LVEF ≤ 40% met the criteria for the DAPA‐HF trial (65%), and this percentage was even higher if the serum level of N‐terminal pro‐brain natriuretic peptide was not considered. A high percentage of patients with diabetes and LVEF > 40% met the criteria for the DECLARE (39%), CANVAS (47%), and EMPA‐REG (30%) trials. Patients meeting the enrolment criteria of RCTs evaluating SGLT2i were also characterized by a high risk of heart failure events during follow‐up. Conclusions In spite of a low number of patients actually treated with SGLT2i, we observed that a high prevalence of patients with CHF met the clinical characteristics of RCTs that have demonstrated a beneficial effect of SGLT2i. |
| Databáze: | OpenAIRE |
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