Towards quadruple therapy for heart failure with reduced ejection fraction: DAPA-HF secondary analysis data

Patients with heart failure with reduced ejection fraction (HFrEF), despite optimal evidence-based treatment, have a high residual risk of adverse outcomes. The favorable results of studies on cardiovascular safety and the effectiveness of sodium-glucose cotransporter 2 (SGLT2) inhibitors in patient...

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Main Authors: Zh. D. Kobalava, V. V. Medovchshikov, N. B. Yeshniyazov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2020-06-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/3870
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author Zh. D. Kobalava
V. V. Medovchshikov
N. B. Yeshniyazov
author_facet Zh. D. Kobalava
V. V. Medovchshikov
N. B. Yeshniyazov
author_sort Zh. D. Kobalava
collection DOAJ
description Patients with heart failure with reduced ejection fraction (HFrEF), despite optimal evidence-based treatment, have a high residual risk of adverse outcomes. The favorable results of studies on cardiovascular safety and the effectiveness of sodium-glucose cotransporter 2 (SGLT2) inhibitors in patients with type 2 diabetes (T2D), including outcomes associated with heart failure, were the reason for studying the effectiveness in patients with HFrEF regardless of the T2D status. For the first time in the DAPA-HF study, the SGLT2 inhibitor dapagliflozin in patients with HFrEF showed a positive effect on hard endpoints. Data of the secondary analysis confirmed the effectiveness of dapagliflozin regardless of the T2D status, therapy, age, and quality of life. The results of DAPA-HF have become a serious statement for changing the standards of the guideline-recommended therapy of HFrEF.
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spelling doaj.art-8ed31595a10c4b3cbb05aafb959d9e3a2023-03-29T21:23:35Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202020-06-0125510.15829/1560-4071-2020-38702929Towards quadruple therapy for heart failure with reduced ejection fraction: DAPA-HF secondary analysis dataZh. D. Kobalava0V. V. Medovchshikov1N. B. Yeshniyazov2Peoples' Friendship University of Russia (RUDN University)Peoples' Friendship University of Russia (RUDN University)Peoples' Friendship University of Russia (RUDN University)Patients with heart failure with reduced ejection fraction (HFrEF), despite optimal evidence-based treatment, have a high residual risk of adverse outcomes. The favorable results of studies on cardiovascular safety and the effectiveness of sodium-glucose cotransporter 2 (SGLT2) inhibitors in patients with type 2 diabetes (T2D), including outcomes associated with heart failure, were the reason for studying the effectiveness in patients with HFrEF regardless of the T2D status. For the first time in the DAPA-HF study, the SGLT2 inhibitor dapagliflozin in patients with HFrEF showed a positive effect on hard endpoints. Data of the secondary analysis confirmed the effectiveness of dapagliflozin regardless of the T2D status, therapy, age, and quality of life. The results of DAPA-HF have become a serious statement for changing the standards of the guideline-recommended therapy of HFrEF.https://russjcardiol.elpub.ru/jour/article/view/3870heart failurereduced ejection fractiontype 2 diabetessglt2 inhibitorsdapagliflozinguideline-recommended therapydapa-hfsub-analysis
spellingShingle Zh. D. Kobalava
V. V. Medovchshikov
N. B. Yeshniyazov
Towards quadruple therapy for heart failure with reduced ejection fraction: DAPA-HF secondary analysis data
Российский кардиологический журнал
heart failure
reduced ejection fraction
type 2 diabetes
sglt2 inhibitors
dapagliflozin
guideline-recommended therapy
dapa-hf
sub-analysis
title Towards quadruple therapy for heart failure with reduced ejection fraction: DAPA-HF secondary analysis data
title_full Towards quadruple therapy for heart failure with reduced ejection fraction: DAPA-HF secondary analysis data
title_fullStr Towards quadruple therapy for heart failure with reduced ejection fraction: DAPA-HF secondary analysis data
title_full_unstemmed Towards quadruple therapy for heart failure with reduced ejection fraction: DAPA-HF secondary analysis data
title_short Towards quadruple therapy for heart failure with reduced ejection fraction: DAPA-HF secondary analysis data
title_sort towards quadruple therapy for heart failure with reduced ejection fraction dapa hf secondary analysis data
topic heart failure
reduced ejection fraction
type 2 diabetes
sglt2 inhibitors
dapagliflozin
guideline-recommended therapy
dapa-hf
sub-analysis
url https://russjcardiol.elpub.ru/jour/article/view/3870
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