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March 10, 2026JACC Heart Failure2 citationsOpen Access

Empagliflozin in De Novo vs Acute Decompensated Chronic Heart Failure

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CAChristiane E. AngermannTGTeresa GerhardtJBJon Blatchford

Key Result

In-hospital empagliflozin initiation yielded similar clinical benefits in both de novo and acute decompensated chronic heart failure patients despite reduced diuretic response in ADHF.

Key Points

  • The study aims to compare the clinical benefits of empagliflozin in patients with de novo heart failure versus acute decompensated heart failure.
  • In-hospital initiation of empagliflozin
  • Comparison of clinical benefits between NHF and ADHF
  • Assessment of diuretic response
  • Evaluation of tolerance to the treatment
  • Empagliflozin produced similar benefits in NHF and ADHF patients
  • Diuretic response was reduced in ADHF participants
  • Treatment was well tolerated across both groups

Structured PICO

Does in-hospital initiation of empagliflozin provide similar clinical benefits in de novo heart failure versus acute decompensated chronic heart failure?

P
Population
Patients in hospital for acute heart failure, including de novo heart failure (NHF) and acute decompensated chronic heart failure (ADHF)
I
Intervention
In-hospital initiation of empagliflozin

In-hospital initiation of empagliflozin is well tolerated and provides clinical benefits across both de novo and acute decompensated chronic heart failure presentations.

Abstract

In-hospital initiation of empagliflozin produced similar clinical benefits in NHF and ADHF despite the reduced diuretic response in participants with ADHF and was well tolerated. This supports in-hospital initiation of empagliflozin in all patients with acute HF (A Study to Test the Effect of Empagliflozin in Patients Who Are in Hospital for Acute Heart Failure EMPULSE; NCT04157751).

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Cite This Study

Angermann et al. (2026) studied this question. In-hospital empagliflozin initiation yielded similar clinical benefits in both de novo and acute decompensated chronic heart failure patients despite reduced diuretic response in ADHF.

synapsesocial.com/papers/69af947370916d39fea4b7ebhttps://doi.org/10.1016/j.jchf.2026.102999
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