Empagliflozin—A New Chance for Patients with Chronic Heart Failure

The heart failure (HF) epidemic is one of the challenges that has been faced by the healthcare system worldwide for almost 25 years. With an ageing world population and a fast-paced lifestyle that promotes the development of cardiovascular disease, the number of people suffering from heart failure w...

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Main Authors: Klaudia Kowalska, Justyna Walczak, Joanna Femlak, Ewelina Młynarska, Beata Franczyk, Jacek Rysz
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/15/1/47
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author Klaudia Kowalska
Justyna Walczak
Joanna Femlak
Ewelina Młynarska
Beata Franczyk
Jacek Rysz
author_facet Klaudia Kowalska
Justyna Walczak
Joanna Femlak
Ewelina Młynarska
Beata Franczyk
Jacek Rysz
author_sort Klaudia Kowalska
collection DOAJ
description The heart failure (HF) epidemic is one of the challenges that has been faced by the healthcare system worldwide for almost 25 years. With an ageing world population and a fast-paced lifestyle that promotes the development of cardiovascular disease, the number of people suffering from heart failure will continue to rise. To improve the treatment regimen and consequently the prognosis and quality of life of heart failure patients, new therapeutic solutions have been introduced, such as an inclusion of Sodium-glucose co-transporter 2 (SGLT-2) inhibitors in a new treatment regimen as announced by the European Society of Cardiology in August 2021. This article focuses on the SGLT2 inhibitor empagliflozin and its use in patients with heart failure. Empagliflozin is a drug originally intended for the treatment of diabetes due to its glycosuric properties, yet its beneficial effects extend beyond lowering glycemia. The pleiotropic effects of the drug include nephroprotection, improving endothelial function, lowering blood pressure and reducing body weight. In this review we discuss the cardioprotective mechanism of the drug in the context of the benefits of empagliflozin use in patients with chronic cardiac insufficiency. Numerous findings confirm that despite its potential limitations, the use of empagliflozin in HF treatment is advantageous and effective.
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spelling doaj.art-7459d0f087844ba4a4e3f3cda87771d92023-11-23T15:01:16ZengMDPI AGPharmaceuticals1424-82472021-12-011514710.3390/ph15010047Empagliflozin—A New Chance for Patients with Chronic Heart FailureKlaudia Kowalska0Justyna Walczak1Joanna Femlak2Ewelina Młynarska3Beata Franczyk4Jacek Rysz5Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, PolandDepartment of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, PolandDepartment of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, PolandDepartment of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, PolandDepartment of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, PolandDepartment of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, PolandThe heart failure (HF) epidemic is one of the challenges that has been faced by the healthcare system worldwide for almost 25 years. With an ageing world population and a fast-paced lifestyle that promotes the development of cardiovascular disease, the number of people suffering from heart failure will continue to rise. To improve the treatment regimen and consequently the prognosis and quality of life of heart failure patients, new therapeutic solutions have been introduced, such as an inclusion of Sodium-glucose co-transporter 2 (SGLT-2) inhibitors in a new treatment regimen as announced by the European Society of Cardiology in August 2021. This article focuses on the SGLT2 inhibitor empagliflozin and its use in patients with heart failure. Empagliflozin is a drug originally intended for the treatment of diabetes due to its glycosuric properties, yet its beneficial effects extend beyond lowering glycemia. The pleiotropic effects of the drug include nephroprotection, improving endothelial function, lowering blood pressure and reducing body weight. In this review we discuss the cardioprotective mechanism of the drug in the context of the benefits of empagliflozin use in patients with chronic cardiac insufficiency. Numerous findings confirm that despite its potential limitations, the use of empagliflozin in HF treatment is advantageous and effective.https://www.mdpi.com/1424-8247/15/1/47heart failurecardiovascular pharmacotherapycardioprotectionSGLT2 inhibitorsempagliflozincardiovascular diseases
spellingShingle Klaudia Kowalska
Justyna Walczak
Joanna Femlak
Ewelina Młynarska
Beata Franczyk
Jacek Rysz
Empagliflozin—A New Chance for Patients with Chronic Heart Failure
Pharmaceuticals
heart failure
cardiovascular pharmacotherapy
cardioprotection
SGLT2 inhibitors
empagliflozin
cardiovascular diseases
title Empagliflozin—A New Chance for Patients with Chronic Heart Failure
title_full Empagliflozin—A New Chance for Patients with Chronic Heart Failure
title_fullStr Empagliflozin—A New Chance for Patients with Chronic Heart Failure
title_full_unstemmed Empagliflozin—A New Chance for Patients with Chronic Heart Failure
title_short Empagliflozin—A New Chance for Patients with Chronic Heart Failure
title_sort empagliflozin a new chance for patients with chronic heart failure
topic heart failure
cardiovascular pharmacotherapy
cardioprotection
SGLT2 inhibitors
empagliflozin
cardiovascular diseases
url https://www.mdpi.com/1424-8247/15/1/47
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