TY - CHAP M1 - Book, Section TI - Heart Failure A1 - Bashore, Thomas M. A1 - Granger, Christopher B. A1 - Jackson, Kevin P. A1 - Patel, Manesh R. A2 - Papadakis, Maxine A. A2 - McPhee, Stephen J. A2 - Rabow, Michael W. A2 - McQuaid, Kenneth R. PY - 2022 T2 - Current Medical Diagnosis & Treatment 2022 AB - Key Clinical Updates in Heart FailureTwo large clinical trials of patients with type 2 diabetes have shown that inhibitors of SGLT2 substantially reduce the risk of cardiovascular death and hospitalization for heart failure for patients with reduced EF, with or without diabetes.Dapagliflozin also reduced all-cause mortality and has been approved for treating heart failure with reduced EF. Empagliflozin is under FDA review.While SGLT2 inhibitors also reduced renal disease progression, patients with severe renal impairment were not included in these trials.In 2021, the FDA approved vericiguat to reduce the risk of cardiovascular death and heart failure hospitalization following hospitalization for heart failure in patients with chronic heart failure and EF < 45%.The VICTORIA trial showed a modest but significant reduction in cardiovascular death and heart failure hospitalization with vericiguat, on top of other effective therapies, in this high-risk population. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessmedicine.mhmedical.com/content.aspx?aid=1184696261 ER -