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Canadian Journal of Cardiology
Research Letters|Articles in Press

Randomized, Double-Blind, Pilot Study Comparison of 10- and 25-mg Empagliflozin in Patients With Heart Failure With Preserved Ejection Fraction

Published:January 25, 2023DOI:https://doi.org/10.1016/j.cjca.2023.01.019
      Empagliflozin not only decreases blood glucose levels, but also can be used to treat heart failure (HF).
      • Packer M.
      • Anker S.D.
      • Butler J.
      • et al.
      Cardiovascular and renal outcomes with empagliflozin in heart failure.
      ,
      • Anker S.D.
      • Butler J.
      • Filippatos G.
      • et al.
      Empagliflozin in heart failure with a preserved ejection fraction.
      A study suggested that empagliflozin 25 mg is preferable to 10 mg for patients with HF with reduced ejection fraction.
      • Hao Z.
      • Zhang Y.
      Different doses of empagliflozin in patients with heart failure with reduced ejection fraction.
      However, it was unclear if there are differences in the effects of 10 mg and 25 mg of empagliflozin on the outcomes of patients with HF with preserved ejection fraction (HFpEF). The main aim of this study was to compare the efficacy of 10 mg and 25 mg of empagliflozin in patients with HFpEF.
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      References

        • Packer M.
        • Anker S.D.
        • Butler J.
        • et al.
        Cardiovascular and renal outcomes with empagliflozin in heart failure.
        N Engl J Med. 2020; 383: 1413-1424
        • Anker S.D.
        • Butler J.
        • Filippatos G.
        • et al.
        Empagliflozin in heart failure with a preserved ejection fraction.
        N Engl J Med. 2021; 385: 1451-1461
        • Hao Z.
        • Zhang Y.
        Different doses of empagliflozin in patients with heart failure with reduced ejection fraction.
        Int Heart J. 2022; 63: 852-856

      Linked Article

      • Is it time to relitigate SGLT2 Inhibitor dose for heart failure?
        Canadian Journal of Cardiology
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          Over the past 40 years, we have observed the introduction of several medical therapies for heart failure with reduced ejection fraction (HFrEF). More recently, effective medical therapy (Goal Directed Medical Therapy, or GDMT)for patients suffering from heart failure with preserved ejection fraction (HFpEF) has been identified in the form of sodium/glucose cotransporter 2 inhibitors (SGLT2 inhibitors)(1). There has also been recognition that timely and aggressive GDMT titration to target doses leads to better outcomes(2).
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