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. 2021 Dec 15;93(12):1491-1497.
doi: 10.26442/00403660.2021.12.201281.

[Empagliflozin and heart failure: position paper of the experts on the results of the online meeting and discussion of the EMPEROR-Preserved Trial]

[Article in Russian]
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[Empagliflozin and heart failure: position paper of the experts on the results of the online meeting and discussion of the EMPEROR-Preserved Trial]

[Article in Russian]
G P Arutyunov et al. Ter Arkh. .

Abstract

At an international online expert meeting held on September 16, 2021, the results of the empagliflozin research program EMPA-REG Outcome, EMPEROR-Reduced and EMPEROR-Preserved were reviewed. We analyzed cardiovascular and renal outcomes during the treatment with empagliflozin in patients with chronic heart failure, regardless of the presence of type 2 diabetes mellitus. The positive results of the EMPEROR-Preserved study are updated and their significance for clinical practice is discussed. Several proposals have been adopted that will accelerate the introduction of empagliflozin therapy into practice in patients with heart failure and overcome clinical inertia.

На состоявшемся 16 сентября 2021 г. международном онлайн-совещании экспертов рассмотрены результаты программы исследований эмпаглифлозина: EMPA-REG Outcome, EMPEROR-Reduced и EMPEROR-Preserved. Проанализированы данные о частоте развития осложнений сердечно-сосудистых заболеваний и болезни почек при применении эмпаглифлозина по сравнению с плацебо у пациентов с хронической сердечной недостаточностью независимо от наличия сахарного диабета 2-го типа. Отмечена важность положительных результатов исследования EMPEROR-Preserved и обсуждено их значение для клинической практики. Принят ряд предложений, которые позволят ускорить внедрение терапии эмпаглифлозином в клиническую практику лечения пациентов с хронической сердечной недостаточностью и преодолеть клиническую инертность.

Keywords: EMPA-REG Outcome trial; EMPEROR-Preserved trial; EMPEROR-Reduced trial; cardiovascular mortality; chronic heart failure; chronic kidney disease; clinical inertia; decompensation of chronic heart failure; empagliflozin; hospitalization.

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