Differences in outcomes of hospitalizations for heart failure after SGLT2 inhibitor treatment: Effect modification by atherosclerotic cardiovascular disease
Cardiovascular Diabetology Oct 28, 2021
Shao SC, Chang KC, Lin SJ, et al. - Different hHF (hospitalization for heart failure) risks among sodium-glucose cotransporter 2 inhibitors were evident in relation to a history of established atherosclerotic cardiovascular diseases (ASCVD). In clinical practice, a more favorable hHF reduction effect may be achieved with the use of dapagliflozin vs empagliflozin in type 2 diabetes (T2D) patients without ASCVD.
A retrospective multi-institutional cohort study in Taiwan, including 9,586 dapagliflozin new users and 9,586 matched empagliflozin new users among T2D patients.
Similar overall hHF risks were revealed for dapagliflozin and empagliflozin (HR, hazard ratio: 0.90).
Only in the subgroup without ASCVD, there were differential hHF risks between dapagliflozin and empagliflozin (HR: 0.67); this was not true for subgroup with ASCVD (HR: 1.12).
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