Does empagliflozin modulate the autonomic nervous system among individuals with type 2 diabetes and coronary artery disease? The EMPA-HEART CardioLink-6 Holter analysis.


Journal

Metabolism open
ISSN: 2589-9368
Titre abrégé: Metabol Open
Pays: England
ID NLM: 101767753

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 11 05 2020
revised: 10 06 2020
accepted: 13 06 2020
entrez: 20 8 2020
pubmed: 20 8 2020
medline: 20 8 2020
Statut: epublish

Résumé

We examined if empagliflozin was associated with modulation of cardiac autonomic tone among subjects with type 2 diabetes and stable coronary artery disease (CAD) relative to placebo. Using ambulatory 24-h Holter electrocardiographic data prospectively collected from a randomized trial, we compared changes in heart rate variability (HRV) parameters between empagliflozin- and placebo-assigned subjects over a follow-up period of 6 months. Measured HRV domains included: standard deviation (SD) of NN intervals (SDNN), SD of average NN intervals per 5-min (SDANN), root mean square of successive RR interval differences (RMSSD), % successive NN intervals differing >50 ms (ms) (pNN50), low frequency (LF), high frequency (HF) and the LF/HF ratio (LF:HF). Differences in HRV parameters between the 2 groups were compared with analysis of covariance (ANCOVA). Statistical measures of significance were reported as adjusted differences between the 2 groups and their corresponding 95% confidence intervals. Sixty-six subjects completed 24-h Holter monitoring at baseline and 6-months. Over 6 months, the change in HRV was similar between subjects treated with empagliflozin vs. placebo for the following parameters: RMSSD -1.2 ms (-6.0 to 3.6 ms); pNN50 0.5% (-2.6 to 3.6%); VLF -907.8 ms Compared to placebo, empagliflozin did not result in changes in autonomic tone among individuals with type 2 diabetes and stable coronary artery disease.

Identifiants

pubmed: 32812924
doi: 10.1016/j.metop.2020.100039
pii: S2589-9368(20)30019-0
pii: 100039
pmc: PMC7424781
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100039

Informations de copyright

© 2020 Published by Elsevier Inc.

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Auteurs

Vinay Garg (V)

Division of Cardiac Surgery, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Department of Medicine, University of Toronto, Toronto, ON, Canada.
Department of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada.

Subodh Verma (S)

Division of Cardiac Surgery, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Department of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada.
Department of Surgery, University of Toronto, Toronto, ON, Canada.

Kim A Connelly (KA)

Department of Medicine, University of Toronto, Toronto, ON, Canada.
Division of Cardiology, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Department of Physiology, University of Toronto, Toronto, ON, Canada.

Andrew T Yan (AT)

Department of Medicine, University of Toronto, Toronto, ON, Canada.
Division of Cardiology, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.

Aditya Sikand (A)

Division of Cardiac Surgery, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.

Ankit Garg (A)

Department of Medicine, University of Toronto, Toronto, ON, Canada.

Paul Dorian (P)

Department of Medicine, University of Toronto, Toronto, ON, Canada.
Department of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada.
Division of Cardiology, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.

Fei Zuo (F)

Applied Health Research Centre, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.

Lawrence A Leiter (LA)

Department of Medicine, University of Toronto, Toronto, ON, Canada.
Division of Endocrinology and Metabolism, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Department of Nutritional Sciences, University of Toronto, Toronto, ON, Canada.

Bernard Zinman (B)

Department of Medicine, University of Toronto, Toronto, ON, Canada.
Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada.

Peter Jüni (P)

Department of Medicine, University of Toronto, Toronto, ON, Canada.
Applied Health Research Centre, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.

Atul Verma (A)

Department of Cardiology, Southlake Regional Health Centre, University of Toronto, Newmarket, ON, Canada.

Hwee Teoh (H)

Division of Cardiac Surgery, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Division of Endocrinology and Metabolism, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.

Adrian Quan (A)

Division of Cardiac Surgery, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.

C David Mazer (CD)

Department of Physiology, University of Toronto, Toronto, ON, Canada.
Department of Anesthesia, Li Ka Shing Knowledge Institute of St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, Canada.

Andrew C T Ha (ACT)

Department of Medicine, University of Toronto, Toronto, ON, Canada.
Peter Munk Cardiac Center, Toronto General Hospital, University Health Network, Toronto, ON, Canada.

Classifications MeSH