Heart failure & cardiomyopathies

Systematic Review of Sodium-Glucose Cotransporter 2 Inhibitors: A Hopeful Prospect in Tackling Heart Failure-Related Events

ESC Heart FailPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Their beneficial effects on HF, especially in left ventricular dysfunction, have made their use possible irrespective of diabetes mellitus or atrial fibrillation status.

Study context

Population
Patients in randomized controlled trials (RCTs) of SGLT2 inhibitors in heart failure (HF)
Participants
83,878 patients · 12 RCTs
Comparison
SGLT2 inhibitors vs control
Outcome
AF, HF hospitalisation, CV death and MACE (pooled)
Methodological details1139 records identified, Searches of PubMed/Medline, CENTRAL and ClinicalTrials.gov; no date or publication-status restrictions; language restrictions
  • 1139 records identified
  • Searches of PubMed/Medline, CENTRAL and ClinicalTrials.gov; no date or publication-status restrictions; language restrictions

Pooled result

As reported in the abstract

SGLT2 inhibitorsOdds ratio (95% CI)
AF; PI: 0.57-1.19
0.83(0.68–1.01)
HF hospitalisation; PI: 0.60-0.78
0.69(0.60–0.78)
CV death; PI: 0.42-1.60
0.82(0.58–1.15)
MACE; PI: 0.71-1.15
0.90(0.77–1.06)

Further pooled results

SGLT2 inhibitors significantly improve quality of life in HF patients

Original publication

Systematic Review of Sodium-Glucose Cotransporter 2 Inhibitors: A Hopeful Prospect in Tackling Heart Failure-Related Events. ESC Heart Fail. Published 26 March 2023. doi:10.1002/ehf2.14355

Summarised from the published abstract; every number is checked against it

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