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Empagliflozin-A New Chance for Patients with Chronic Heart Failure
Klaudia Kowalska1, Justyna Walczak1, Joanna Femlak1
1Department of Nephrology, Hypertension and Family Medicine, Medical University of Lodz, 90-549 Lodz, Poland.
Insights
Sodium-glucose co-transporter 2 (SGLT-2) inhibitors, like empagliflozin, offer new hope for heart failure (HF) patients. These drugs provide cardioprotective benefits beyond blood sugar control, improving patient outcomes.
Area of Science:
- Cardiology
- Pharmacology
- Endocrinology
Background:
- Heart failure (HF) presents a growing global healthcare challenge, exacerbated by an aging population and lifestyle factors.
- New therapeutic strategies are crucial for improving HF patient prognosis and quality of life.
- Sodium-glucose co-transporter 2 (SGLT-2) inhibitors represent a significant advancement in HF treatment, as recognized by the European Society of Cardiology in 2021.
Purpose of the Study:
- To review the cardioprotective mechanisms of empagliflozin in patients with chronic heart failure.
- To evaluate the benefits and effectiveness of empagliflozin for heart failure treatment.
Main Methods:
- Review of existing scientific literature on empagliflozin and its effects in heart failure.
- Analysis of the pleiotropic effects of empagliflozin, including nephroprotection, improved endothelial function, blood pressure reduction, and weight management.
Main Results:
- Empagliflozin, initially developed for diabetes, demonstrates beneficial effects beyond glycemic control.
- The drug exhibits pleiotropic actions, contributing to cardiovascular protection.
- Findings suggest empagliflozin is advantageous and effective in heart failure treatment, despite potential limitations.
Conclusions:
- Empagliflozin offers significant benefits for patients with chronic heart failure.
- Its pleiotropic effects contribute to its cardioprotective role.
- Empagliflozin represents a valuable therapeutic option for managing heart failure.
Abstract:
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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