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August 27, 2021New England Journal of MedicineOpen Access

Empagliflozin in Heart Failure with a Preserved Ejection Fraction

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Key result

Empagliflozin cuts CV death or heart failure hospitalization in HFpEF regardless of diabetes status.

Why the study?

Does empagliflozin reduce the combined risk of cardiovascular death or hospitalization for heart failure in patients with heart failure and a preserved ejection fraction?

Population

Patients with heart failure and a preserved ejection fraction, with or without diabetes

Authors

Stefan D. Anker
Stefan D. AnkerHeart Failure / Cardiomyopathy
Javed Butler
Javed ButlerHeart Failure / Cardiomyopathy
Gerasimos Filippatos
Gerasimos FilippatosHeart Failure / Cardiomyopathy

Discussion

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Implication

Supports empagliflozin initiation in HFpEF irrespective of diabetes; extends SGLT2i benefits to preserved ejection fraction.

Key Points

  • To evaluate the impact of empagliflozin on cardiovascular outcomes in heart failure with preserved ejection fraction.
  • Clinical trial design
  • Included patients with heart failure and preserved ejection fraction
  • Assessed combined risk of cardiovascular death and hospitalization for heart failure
  • Empagliflozin significantly reduced the risk of cardiovascular death or hospitalization for heart failure
  • Effects observed regardless of diabetes status

Structured PICO

Does empagliflozin reduce the combined risk of cardiovascular death or hospitalization for heart failure in patients with heart failure and a preserved ejection fraction?

P
Population
Patients with heart failure and a preserved ejection fraction, regardless of the presence or absence of diabetes
I
Intervention
Empagliflozin
O
Outcome
Combined risk of cardiovascular death or hospitalization for heart failurecomposite

Empagliflozin reduces the composite risk of cardiovascular death or heart failure hospitalization in patients with HFpEF, independent of diabetes status.

Cite This Study

Anker et al. (2021) studied this question. Empagliflozin reduced the combined risk of cardiovascular death or hospitalization for heart failure in patients with preserved ejection fraction, regardless of diabetes status.

synapsesocial.com/papers/6965117d7269e604acbf68f5https://doi.org/10.1056/nejmoa2107038

Topics

HFrEF treatmentHeart failureSGLT2 inhibitors in heart failureHeart failure hospitalizationWomen and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluation of the Effects of Sodium–Glucose Co-Transporter 2 Inhibition with Empagliflozin on Morbidity and Mortality in Patients with Chronic Heart Failure and a Preserved Ejection Fraction: Rationale for and Design of the EMPEROR-Preserved Trial2019 · 254 citations
  2. 2SGLT2 inhibitors in patients with heart failure with reduced ejection fraction: a meta-analysis of the EMPEROR-Reduced and DAPA-HF trials2020 · 1,418 citations
  3. 3Angiotensin–Neprilysin Inhibition in Heart Failure with Preserved Ejection Fraction2019 · 2,431 citations
  4. 4Spironolactone for Heart Failure with Preserved Ejection Fraction2014 · 2,810 citations
  5. 5Influence of ejection fraction on outcomes and efficacy of spironolactone in patients with heart failure with preserved ejection fraction2015 · 534 citations