Showing posts with label SGLT 2. Show all posts
Showing posts with label SGLT 2. Show all posts

Saturday, 23 September 2017

Hospitalization for Heart Failure and Death in patient with/without prior CVD in New Users of SGLT-2 inhibitors: a CVD-REAL Study

T2DM patients with CVD on sodium glucose co-transporter 2 inhibitor (SGLT-2i) have shown reduction in cardiovascular death and hospitalization for heart failure (HHF).

This study used clinical practice data from 2012-2016 and compared HHF and death in patient with/without prior CVD or heart failure in new users of SGLT-2i vs other glucose lowering drugs (oGLD).

HHF and deaths were collected via medical records, medical claims, electronic health and death records, and national register; Hazard ratio (HR) for HHF, death and the composite endpoint (HHF or death) was calculated as average.

Overall, 306,156 patients with >150,000 person year(PY) 100,947 PY for SGLT-2i; 89,208 PY for oGLD) and 950 new HHF events were analyzed.

SGLT-2i was associated with significant lower rates of HHF with/without prior CVD (HR 0.69;95% CI 0.59-0.80) compared with oGLD (HR 0.55, 95% CI 0.34-0.88).

Similarly, death and composite endpoint was significantly lower for SGLT-2i when compared to oGLD, irrespective of heart failure or CVD.

SGLT-2i was associated with significant reduction in HHF and death vs oGLD in both with/without prior CVD or heart failure patients, which shows the beneficial effect of SGLT-2i over broad range of patient population with T2DM.