Cor Vasa 2021, 63(3):373-377 | DOI: 10.33678/cor.2021.084
(Type 2 diabetes and heart failure - how to optimize cooperation of cardiologist and diabetologist)
- a Diabetologické centrum, III. interní gerontometabolická klinika, Fakultní nemocnice Hradec Králové, Hradec Králové
- b Kardiocentrum, I. interní kardioangiologická klinika, Fakultní nemocnice Hradec Králové, Hradec Králové
Heart failure and type 2 diabetes mellitus often occur together and are associated with poor prognosis and high mortality. Cardiovascular studies with SGLT2 inhibition carried out in recent years in type 2 diabetics have shown its beneficial effect on the reduction of hospitalization for heart failure. This beneficial effect demonstrated with all gliflozins (empagliflozin, dapagliflozin, canagliflozin) became the subject of further research and thus hope for the treatment of heart failure. DAPA-HF studies with dapagliflozin aimed at patients with chronic heart failure and reduced EF (HFrEF) confirmed a decrease in hospitalization for heart failure and a decrease in cardiovascular and overall mortality in patients treated with dapagliflozin regardless of the presence of diabetes. Dapagliflozin is therefore not only an antidiabetic, but becomes also a useful drug for the treatment of the chronic heart failure with reduced EF.
Keywords: Cardioprotective effects, Chronic heart failure, Dapagliflozin, Nephroprotective effects, SGLT2 inhibition, Type 2 diabetes
Received: June 4, 2021; Revised: June 21, 2021; Accepted: June 22, 2021; Published: July 20, 2021 Show citation
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