Optimising the Heart Failure Treatment Pathway: The Role of SGLT2 Inhibitors.


Journal

Drugs
ISSN: 1179-1950
Titre abrégé: Drugs
Pays: New Zealand
ID NLM: 7600076

Informations de publication

Date de publication:
Jul 2021
Historique:
accepted: 19 05 2021
pubmed: 24 6 2021
medline: 16 12 2021
entrez: 23 6 2021
Statut: ppublish

Résumé

Sodium-glucose cotransporter 2 (SGLT2) inhibitors were first developed as glucose-lowering therapies for the treatment of diabetes. However, these drugs have now been recognised to prevent worsening heart-failure events, improve health-related quality of life, and reduce mortality in people with heart failure with reduced ejection fraction (HFrEF), including those both with and without diabetes. Despite robust clinical trial data demonstrating favourable outcomes with SGLT2 inhibitors for patients with HFrEF, there is a lack of familiarity with the HF indication for these drugs, which have been the remit of diabetologists to date. In this article we use consensus expert opinion alongside the available evidence and label indication to provide support for the healthcare community treating people with HF regarding positioning of SGLT2 inhibitors within the treatment pathway. By highlighting appropriate prescribing and practical considerations, we hope to encourage greater, and safe, use of SGLT2 inhibitors in this population.

Identifiants

pubmed: 34160822
doi: 10.1007/s40265-021-01538-6
pii: 10.1007/s40265-021-01538-6
doi:

Substances chimiques

Cardiovascular Agents 0
Sodium-Glucose Transporter 2 Inhibitors 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1243-1255

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.

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Auteurs

Marc Evans (M)

Diabetes Resource Centre, University Hospital Llandough, Penlan Road, Llandough, Cardiff, CF64 2XX, UK. marclyndon1@hotmail.com.

Angharad R Morgan (AR)

Health Economics and Outcomes Research Ltd., Cardiff, UK.

Zaheer Yousef (Z)

Department of Cardiology, University Hospital of Wales and Cardiff University, Cardiff, UK.

Gethin Ellis (G)

Department of Cardiology, Cwm Taf University Health Board, Rhondda Cynon Taf, UK.

Umesh Dashora (U)

East Sussex Healthcare NHS Trust, St Leonards-on-Sea, UK.

Dipesh C Patel (DC)

Division of Medicine, Department of Diabetes, University College London, Royal Free Campus, London, UK.

Pam Brown (P)

SA1 Medical Practice, Swansea, UK.

Wasim Hanif (W)

University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Johnathan N Townend (JN)

University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Naresh Kanumilli (N)

Northenden Group Practice, Manchester, UK.

Jim Moore (J)

Stoke Road Surgery, Bishop's Cleeve, Cheltenham, UK.

John P H Wilding (JPH)

Department of Cardiovascular and Metabolic Medicine, University of Liverpool, Aintree University Hospital, Liverpool, UK.

Stephen C Bain (SC)

Diabetes Research Unit, Swansea University Medical School, Swansea, UK.

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