Naslov
Left Ventricular Systolic Function After 3 Months of SGLT2 Inhibitor Therapy in Heart Failure Patients with Reduced Ejection Fraction

Autori
Mustapić, Ivona ; Baković, Darija ; Sušilović-Grabovac, Zora ; Borovac, Josip Anđelo

Vrsta, podvrsta
Radovi u časopisima, znanstveni

Izvornik
Journal of Cardiovascular Translational Research (2023)

Status rada
Online first

Ključne riječi
SGLT2 ; empagliflozin ; dapagliflozin ; heart failure ; HF ; HFrEF ; ventricular function ; 3D LVEF ; global longitudinal strain ; GLS ; myocardial work ; wasted work ; global working efficiency ; OMT

Sažetak
Not much is known about the effects of sodium-glucose cotransporter 2 inhibitors (SGLT2i) on echocardiographic parameters of left ventricular (LV) systolic function in patients with heart failure and reduced ejection fraction (HFrEF). We prospectively included 59 outpatients with HFrEF: 41 patients received SGLT2i with OMT (SGLT2i+ group), whereas eighteen patients received OMT without SGLT2i (SGLT2i− group). Myocardial work index (MWI), 3D ejection fraction (3D LVEF), and global longitudinal strain (GLS) were measured at baseline and after 3 months following treatment. At 3-month follow-up, the SGLT2i+ group showed significantly greater improvement in MWI than the SGLT2i− group. In both groups, there was a significant improvement in 3D LVEF and LV GLS, circulating NT-proBNP levels, and NYHA functional class, with significantly greater improvement in the SGLT2i+ group. In conclusion, the addition of SGLT2i to fully optimized background medical therapy resulted in a greater improvement of LV systolic function among outpatients with HFrEF.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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