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November 14, 2023Journal of Cardiovascular PharmacologyOpen Access

HR 0.78 (95% CI 0.71-0.86, P < 0.0001) for the composite of worsening HF or cardiovascular death.

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Why the study?

Studies examining the benefits of SGLT2 inhibitors exclusively in nondiabetic patients across various heart failure outcomes are limited.

Do SGLT2 inhibitors reduce worsening heart failure or cardiovascular death in nondiabetic patients with heart failure?

Population

10,638 nondiabetic patients across 4 randomized controlled trials

Comparison

SGLT2i vs placebo

Design

Systematic review and meta-analysis of randomized controlled trials

Authors

SKSharath Kommu

Discussion

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Overview

Supports SGLT2i use in nondiabetic HF; extends RCT evidence to this subgroup.

Structured PICO

Do SGLT2 inhibitors reduce worsening heart failure or cardiovascular death in nondiabetic patients with heart failure?

P
Population
10,638 nondiabetic patients with heart failure pooled from 4 randomized controlled trials
I
Intervention
SGLT2 inhibitors as a class
C
Comparator
Placebo
O
Outcome
Composite of worsening HF (hospitalization for HF or urgent visit for HF) or cardiovascular deathcomposite

SGLT2 inhibitors significantly improve heart failure outcomes, including reducing hospitalizations for HF, in patients with heart failure who do not have diabetes mellitus.

Cite This Study

Sharath Kommu (2023) studied this question.

synapsesocial.com/papers/6a783adcd2fa2470761f5cd6https://doi.org/10.1097/fjc.0000000000001511
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Also Consider

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

  1. 1Effect of SGLT2 inhibitors on heart failure outcomes in patients with and without diabetes: A systematic review and meta‑analysis of randomized controlled trials2026
  2. 2Heart Failure Outcomes with SGLT2 Inhibitors in Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis2025 · 3 citations
  3. 3Effectiveness of SGLT2 inhibitor therapy in treatment of Heart failure: A Meta-Analysis2023
  4. 4The Role of SGLT2 Inhibitors in Heart Failure: A Systematic Review and Meta-Analysis2021 · 40 citations
  5. 5Cardiovascular Outcome in Patients Treated With SGLT2 Inhibitors for Heart Failure: A Meta-Analysis2021 · 43 citations