The Role of Dapagliflozin in the Management of Heart Failure: An Update on the Emerging Evidence

Manasvi Gupta,1 Shiavax Rao,2 Gaurav Manek,1 Gregg C Fonarow,3 Raktim K Ghosh4 1Department of Internal Medicine, University of Connecticut, Hartford, CT, USA; 2Department of Medicine, MedStar Union Memorial Hospital, Baltimore, MD, USA; 3Department of Medicine, Ronald Reagan UCLA Medical Center, Los...

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Autores principales: Gupta M, Rao S, Manek G, Fonarow GC, Ghosh RK
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:69369d87bd334ec281d0b61a674f8fe72021-12-02T17:08:00ZThe Role of Dapagliflozin in the Management of Heart Failure: An Update on the Emerging Evidence1178-203Xhttps://doaj.org/article/69369d87bd334ec281d0b61a674f8fe72021-08-01T00:00:00Zhttps://www.dovepress.com/the-role-of-dapagliflozin-in-the-management-of-heart-failure-an-update-peer-reviewed-fulltext-article-TCRMhttps://doaj.org/toc/1178-203XManasvi Gupta,1 Shiavax Rao,2 Gaurav Manek,1 Gregg C Fonarow,3 Raktim K Ghosh4 1Department of Internal Medicine, University of Connecticut, Hartford, CT, USA; 2Department of Medicine, MedStar Union Memorial Hospital, Baltimore, MD, USA; 3Department of Medicine, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA; 4MedStar Heart and Vascular Institute, Union Memorial Hospital, Baltimore, MD, USACorrespondence: Raktim K Ghosh Tel +1 410-366-5600Fax +1 410-889-4952Email raktimghoshmd@gmail.comAbstract: The burden and cost of heart failure management, primarily in the form of hospitalization in the setting of decompensated heart failure, continue to be some of the biggest clinical challenges in cardiovascular medicine. In recently published randomized controlled trials, including DAPA-HF, sodium-glucose cotransporter 2 (SGLT2) inhibitor dapagliflozin was shown to reduce hospitalization from heart failure or mortality associated with cardiovascular causes, when added to existing guideline-directed medical therapy. The American College of Cardiology (ACC) released a Clinical Pathway guideline that recommends the use of dapagliflozin in clinical management of heart failure, with or without diabetes. Furthermore, the results of the DAPA-CKD trial broaden the utility of dapagliflozin as a therapeutic option in patients with advanced kidney disease. In this article, the authors explore the existing evidence on dapagliflozin in heart failure with reduced ejection fraction and highlight the need for further research on uses of dapagliflozin in the world of heart failure.Keywords: dapagliflozin, DAPA-HF, DECLARE-TIMI, DEFINE-HF, HFrEF, DAPA-CKDGupta MRao SManek GFonarow GCGhosh RKDove Medical Pressarticledapagliflozindapa-hfdeclare-timidefine-hfhfrefdapaTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 17, Pp 823-830 (2021)
institution DOAJ
collection DOAJ
language EN
topic dapagliflozin
dapa-hf
declare-timi
define-hf
hfref
dapa
Therapeutics. Pharmacology
RM1-950
spellingShingle dapagliflozin
dapa-hf
declare-timi
define-hf
hfref
dapa
Therapeutics. Pharmacology
RM1-950
Gupta M
Rao S
Manek G
Fonarow GC
Ghosh RK
The Role of Dapagliflozin in the Management of Heart Failure: An Update on the Emerging Evidence
description Manasvi Gupta,1 Shiavax Rao,2 Gaurav Manek,1 Gregg C Fonarow,3 Raktim K Ghosh4 1Department of Internal Medicine, University of Connecticut, Hartford, CT, USA; 2Department of Medicine, MedStar Union Memorial Hospital, Baltimore, MD, USA; 3Department of Medicine, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA; 4MedStar Heart and Vascular Institute, Union Memorial Hospital, Baltimore, MD, USACorrespondence: Raktim K Ghosh Tel +1 410-366-5600Fax +1 410-889-4952Email raktimghoshmd@gmail.comAbstract: The burden and cost of heart failure management, primarily in the form of hospitalization in the setting of decompensated heart failure, continue to be some of the biggest clinical challenges in cardiovascular medicine. In recently published randomized controlled trials, including DAPA-HF, sodium-glucose cotransporter 2 (SGLT2) inhibitor dapagliflozin was shown to reduce hospitalization from heart failure or mortality associated with cardiovascular causes, when added to existing guideline-directed medical therapy. The American College of Cardiology (ACC) released a Clinical Pathway guideline that recommends the use of dapagliflozin in clinical management of heart failure, with or without diabetes. Furthermore, the results of the DAPA-CKD trial broaden the utility of dapagliflozin as a therapeutic option in patients with advanced kidney disease. In this article, the authors explore the existing evidence on dapagliflozin in heart failure with reduced ejection fraction and highlight the need for further research on uses of dapagliflozin in the world of heart failure.Keywords: dapagliflozin, DAPA-HF, DECLARE-TIMI, DEFINE-HF, HFrEF, DAPA-CKD
format article
author Gupta M
Rao S
Manek G
Fonarow GC
Ghosh RK
author_facet Gupta M
Rao S
Manek G
Fonarow GC
Ghosh RK
author_sort Gupta M
title The Role of Dapagliflozin in the Management of Heart Failure: An Update on the Emerging Evidence
title_short The Role of Dapagliflozin in the Management of Heart Failure: An Update on the Emerging Evidence
title_full The Role of Dapagliflozin in the Management of Heart Failure: An Update on the Emerging Evidence
title_fullStr The Role of Dapagliflozin in the Management of Heart Failure: An Update on the Emerging Evidence
title_full_unstemmed The Role of Dapagliflozin in the Management of Heart Failure: An Update on the Emerging Evidence
title_sort role of dapagliflozin in the management of heart failure: an update on the emerging evidence
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/69369d87bd334ec281d0b61a674f8fe7
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