Impact of SGLT2 Inhibitors on Heart Failure With Reduced Ejection Fraction in Diabetics
Keywords:
SGLT2 inhibitors, Heart Failure with Reduced Ejection Fraction, Type 2 Diabetes MellitusAbstract
Objective: Heart failure with reduced ejection fraction (HFrEF) and type 2 Diabetes Mellitus (DM2) are frequently associated chronic conditions, resulting in an unfavorable prognosis and high cardiovascular mortality. This systematic review aims to evaluate the impact of sodium-glucose cotransporter 2 (iSGLT2) inhibitors on HFrEF in patients with DM2. The research was conducted in the PubMed database, covering the period from 2020 to 2025, and followed the PICO strategy for the selection of clinical trials, meta-analyses and systematic reviews. The results of the studies analyzed, including trials with Dapagliflozin, Empagliflozin and Canagliflozin, consistently demonstrated that iSGLT2 significantly reduces the combined outcome of cardiovascular death and hospitalizations for heart failure. In addition to the cardiovascular benefits, improvement in glycemic control and a favorable safety profile were observed. The present review reaffirms the fundamental role of iSGLT2 as an essential therapy in the management of patients with HFrEF and DM2, positively modifying the course of the disease and improving survival and quality of life.
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