Responders to Sodium-Glucose Cotransporter 2 Inhibitors in Improving Left Ventricular Function

医学 射血分数 内科学 心力衰竭 心脏病学 心功能曲线 舒张期 糖尿病 队列 肾功能 内分泌学 血压
作者
Masaki Nakagaito,Robert A. Berg,Shuji Joho,Ryuichi Ushijima,Makiko Nakamura,Koichiro Kinugawa
出处
期刊:International Heart Journal [Japanese Heart Journal Assoc]
卷期号:63 (3): 550-557
标识
DOI:10.1536/ihj.22-027
摘要

Sodium-glucose cotransporter 2 inhibitor (SGLT2i)-incorporated medical therapy is associated with cardiac function improvement in patients with heart failure. However, the factors associated with such an improvement remain unknown.This study included patients with heart failure and type 2 diabetes mellitus who received SGLT2i-incorporated medical therapy in our institute. Transthoracic echocardiography was performed at baseline and 3-18 months later. The factors associated with cardiac function improvement were investigated.A total of 47 patients (median age, 69 years old; 35 men) were included in this study. SGLT2i was administered for median 284 days (range: 86-730 days). The left ventricular ejection fraction increased from 39.0% to 54.0% (P < 0.001), and the E/e' ratio decreased from 14.0 to 10.4 (P = 0.002). Younger age, higher serum albumin level, and lower serum sodium level were independently associated with an improvement in systolic function, defined as an increase in the ejection fraction of ≥ 35% among patients with systolic heart failure (P = 0.018). Male sex and impaired renal function tended to be associated with an improvement in diastolic function, defined as a decrease in the E/e' ratio of ≥ 20% among the overall cohort.Several factors were associated with improvements in systolic and diastolic functions during the SGLT2i-incorporated medical therapy.
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