Cardiometabolic & kidney

Baseline Neutrophil-to-Lymphocyte Ratio and Efficacy of SGLT2 Inhibition with Empagliflozin on Cardiac Remodelling

ESC Heart FailPublished Secondary analysis of the EMPA-HEART CardioLink-6 randomised trial

Authors' conclusion

Empagliflozin treatment is associated with consistent reductions in LVMi in patients with T2D and CAD independent of baseline NLR.

Study context

Population
Patients with T2DM and coronary artery disease (CAD)
Participants
97 patients
Comparison
Empagliflozin vs placebo, by baseline neutrophil-to-lymphocyte ratio (NLR)
Primary endpoint
Change in LV mass indexed to body surface area (LVMi) by CMR
Follow-up
6 months
Methodological detailssubgroup analysis by baseline NLR
  • Subgroup analysis by baseline NLR

Primary result

As reported in the abstract

Change in LVMi, by baseline NLR
Empagliflozin vs PlaceboAdjusted difference, g/m2 (95% CI)P value
NLR < 2
−2.98(−6.18 to 0.22)
P = 0.067
NLR ≥ 2
−4.43(−8.50 to −1.11)

Further findings

Baseline LV structure by NLR

Elevated baseline NLR associated with higher LVMi and LV end-diastolic volume index than lower NLR

Original publication

Baseline Neutrophil-to-Lymphocyte Ratio and Efficacy of SGLT2 Inhibition with Empagliflozin on Cardiac Remodelling. ESC Heart Fail. Published 10 April 2023. doi:10.1002/ehf2.14351

Composed by AI from the published abstract and checked against it. How Briefs are made →

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