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DOI: 10.1055/a-1901-0646
Diabetes mellitus und Herz
Authors

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Empfehlung 1: In der EMPEROR-Preserved-Studie zeigte sich bei Patienten mit Herzinsuffizienz und einer LVEF > 40 % unabhängig vom Vorliegen eines Diabetes eine signifikante Reduktion des primären Endpunktes (kardiovaskulärer Tod oder Hospitalisierung für Herzinsuffizienz) um 21 %. Dieses Ergebnis war getrieben durch eine um 29 % reduzierte Hospitalisierung aufgrund von Herzinsuffizienz. Auf dem Boden dieser Daten ist Empagliflozin nun zur Therapie der Herzinsuffizienz unabhängig von der Ejektionsfraktion zugelassen
Begründung: relevante Neuzulassung zur Behandlung der Herzinsuffizienz (HFmrEF, HFpEF)
Stützende Quellenangabe: [1]
Publication History
Article published online:
18 October 2022
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Literatur
- 1
Anker SD,
Butler J,
Filippatos G.
et al. Empagliflozin in Heart Failure with a Preserved Ejection Fraction. N Engl J
Med 2021; 385: 1451-1461
Reference Ris Wihthout Link
- 2 Di Angelantonio E, Kaptoge S. Emerging Risk Factors C. et al. Association of Cardiometabolic Multimorbidity With Mortality. JAMA 2015; 314: 52-60
- 3
Consentino FF,
Grant PJ,
Aboyans V.
et al. 2019 ESC guidelines on diabetes, pre-diabetes, and cardiovascular diseases
developed in collaboration with the EASD. Eur Heart J 2020; 41: 255-323
Reference Ris Wihthout Link
- 4
Zinman B,
Wanner C,
Lachin JM.
et al. Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes. N
Engl J Med 2015; 373: 2117-2128
Reference Ris Wihthout Link
- 5
Neal B,
Perkovic V,
Mahaffey KW.
et al. Canagliflozin and Cardiovascular and Renal Events in Type 2 Diabetes. N Engl
J Med 2017; 377: 644-657
Reference Ris Wihthout Link
- 6 Wiviott SD, Raz I, Bonaca MP. et al. Dapagliflozin and Cardiovascular Outcomes in Type 2 Diabetes. N Engl J Med 2018; 380: 347-357
- 7
Marso SP,
Daniels GH,
Brown-Frandsen K.
et al. Liraglutide and Cardiovascular Outcomes in Type 2 Diabetes. N Engl J Med 2016;
375: 311-322
Reference Ris Wihthout Link
- 8
Marso SP,
Bain SC,
Consoli A.
et al. Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes. N
Engl J Med 2016; 375: 1834-1844
Reference Ris Wihthout Link
- 9
Hernandez AF,
Green JB,
Janmohamed S.
et al. Albiglutide and cardiovascular outcomes in patients with type 2 diabetes and
cardiovascular disease (Harmony Outcomes): a double-blind, randomised placebocontrolled
trial. Lancet 2018; 392: 1519-1529
Reference Ris Wihthout Link
- 10
Gerstein HC,
Colhoun HM,
Dagenais GR.
et al. Dulaglutide and cardiovascular outcomes in type 2 diabetes (REWIND): a double-blind,
randomised placebo-controlled trial. Lancet 2019; 394: 121-130
Reference Ris Wihthout Link
- 11
Husain M,
Birkenfeld AL,
Donsmark M.
et al. Oral Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes.
N Engl J Med 2019; 381: 841-851
Reference Ris Wihthout Link
- 12
Marso SP,
Bain SC,
Consoli A.
et al. Semaglutide and Cardiovascular Outcomes in Patients with Type 2 Diabetes. N
Engl J Med 2016; 375: 1834-1844
Reference Ris Wihthout Link
- 13 Nichols GA, Gullion CM, Koro CE. et al. The incidence of congestive heart failure in type 2 diabetes: an update. Diabetes Care 2004; 27: 1879-1884
- 14 MacDonald MR, Petrie MC, Varyani F. et al. Impact of diabetes on outcomes in patients with low and preserved ejection fraction heart failure: an analysis of the Candesartan in Heart failure: Assessment of Reduction in Mortality and morbidity (CHARM) programme. Eur Heart J 2008; 29: 1377-1385
- 15
McDonagh TA,
Metra M,
Adamo M.
et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart
failure: Developed by the Task Force for the diagnosis and treatment of acute and
chronic heart failure of the European Society of Cardiology (ESC) With the special
contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2021;
42: 3599-3726
Reference Ris Wihthout Link
- 16
McMurray JJV,
Solomon SD,
Inzucchi SE.
et al. Dapagliflozin in Patients with Heart Failure and Reduced Ejection Fraction.
N Engl J Med 2019; 381: 1995-2008
Reference Ris Wihthout Link
- 17
Packer M,
Anker SD,
Butler J.
et al. Cardiovascular and Renal Outcomes with Empagliflozin in Heart Failure. N Engl
J Med 2020; 383: 1413-1424
Reference Ris Wihthout Link
- 18 Zannad F, Ferreira JP, Pocock SJ. et al SGLT2 inhibitors in patients with heart failure with reduced ejection fraction: a meta-analysis of the EMPEROR-Reduced and DAPA-HF trials. Lancet 2020; 396: 819-829
- 19 Kirchhof P, Benussi S, Kotecha D. et al. 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS: The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC)Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESCEndorsed by the European Stroke Organisation (ESO). Eur Heart J 2016; 37: 2893-2962