Pharmacological treatment options for heart failure with reduced ejection fraction: A 2022 update
Source : https://www.tandfonline.com/doi/abs/10.1080/14656566.2022.2047647?journalCode=ieop20
ABSTRACT Despite considerable advances in the treatment of heart failure with reduced ejection fraction (HFrEF) over the last 60 years, mortality and morbidity remains high. Fortunately, in the last years,...
Relevance: The authors provide an overview of recent developments in HF treatment and bring the recommendations in the HF guidelines of the European Society of Cardiology into perspective.
Effect of Empagliflozin on Sphingolipid Catabolism in Diabetic and Hypertensive Rats - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/35270028/
The profile of sphingomyelin and its metabolites shows changes in the plasma, organs, and tissues of patients with cardiovascular, renal, and metabolic diseases. The objective of this study was to...
Conclusion/Relevance: Our results suggest that empagliflozin downregulates the interaction of the de novo pathway and the catabolic pathway of sphingolipid metabolism in the diabetes, whereas in Ang II-dependent hypertension, it only downregulates the sphingolipid catabolic pathway.
Dose-ranging effects of SGLT2 inhibitors in patients with type 2 diabetes: a systematic review and meta-analysis
ABSTRACT The lowest dosage of empagliflozin (10 mg) showed similar benefits on glycated hemoglobin (HbA1c) level, body weight, blood pressure, and total and cardiovascular mortality in comparison with the highest...
Conclusion/Relevance: In the indirect meta-analysis, canagliflozin 300 mg ranked the highest regarding reductions in HbA1c and body weight. The remaining medications and dosages were clinically similar, despite some statistically significant differences among them. Canagliflozin 300 mg seems to be more potent in reducing HbA1c and body weight...
Determining the role of SGLT2 inhibition with Empagliflozin in the development of diabetic retinopathy - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/35234250/
Diabetes mellitus is a chronic metabolic disease that occurs when the pancreas is not producing enough insulin or when the insulin that it does produce is not able to be...
Conclusion/Relevance:We show that EMPA reduces vascular leakage indicated by lower albumin staining in the vitreous humor and diminishes expression of the pathogenic factor VEGF in the retina. Additionally, EMPA significantly alters the retinal genetic signature. Our findings suggest that SGLT2 inhibition may be a useful therapeutic approach to...
Patterns of Care for First-detected Atrial Fibrillation: Insights from the Get With The Guidelines Atrial Fibrillation Registry
Source : https://www.heartrhythmjournal.com/article/S1547-5271(22)00210-7/fulltext
Despite multiple trials comparing rate with rhythm control, there is no consensus on optimal management of first-detected atrial fibrillation (AF). We analyzed current patterns of care for first-detected AF in...
Conclusions: Less than half of the patients with first-detected AF receive rhythm control at admission. Given recent trial results, further studies should assess the long-term impact of rhythm control on patients’ symptoms and quality of life, cardiovascular morbidity, and mortality