Evidence map›Paper›PMID 34719241›Full record

ArticleJournal of the American Heart Association2021

Different Responses of Muscle Sympathetic Nerve Activity to Dapagliflozin Between Patients With Type 2 Diabetes With and Without Heart Failure.

Takuto Hamaoka, Hisayoshi Murai, Tadayuki Hirai, Hiroyuki Sugimoto, Yusuke Mukai, Oto Inoue, Shinichiro Takashima, Takeshi Kato, Shigeo Takata, Soichiro Usui and 3 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Trial
  2. Interaction between SGLT2 and the sympathetic nervous system in normal and various cardiovascular metabolic disease states.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
    Review
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Takuto HamaokaDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Hisayoshi MuraiDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.ORCID 0000-0002-0050-4618
Tadayuki HiraiDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Hiroyuki SugimotoDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Yusuke MukaiDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Oto InoueDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Shinichiro TakashimaDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Takeshi KatoDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Shigeo TakataKanazawa Municipal Hospital Kanazawa Japan.
Soichiro UsuiDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Kenji SakataDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Masa-Aki KawashiriDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.
Masayuki TakamuraDepartment of Cardiovascular Medicine Kanazawa University Graduate School of Medical Sciences Kanazawa Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Sodium-glucose cotransporter 2 inhibitors improve cardiovascular outcomes in patients with diabetes with and without heart failure (HF). However, their influence on sympathetic nerve activity (SNA) remains unclear. The purpose of this study was to evaluate the effect of sodium-glucose cotransporter 2 inhibitors on SNA and compare the responses of SNA to sodium-glucose cotransporter 2 inhibitors in patients with type 2 diabetes with and without HF. Methods and Results Eighteen patients with type 2 diabetes, 10 with HF (65.4±3.68 years) and 8 without HF (63.3±3.62 years), were included. Muscle SNA (MSNA), heart rate, and blood pressure were recorded before and 12 weeks after administration of dapagliflozin (5 mg/day). Sympathetic and cardiovagal baroreflex sensitivity were simultaneously calculated. Brain natriuretic peptide level increased significantly at baseline in patients with HF than those without HF, while MSNA, blood pressure, and hemoglobin A1c did not differ between the 2 groups. Fasting blood glucose and homeostatic model assessment of insulin resistance did not change in either group after administering dapagliflozin. MSNA decreased significantly in both groups. However, the reduction in MSNA was significantly higher in patients with HF than patients with non-HF (-20.2±3.46 versus -9.38±3.65 bursts/100 heartbeats;

Indexed as

Diabetes Mellitus, Type 2Heart FailureBenzhydryl CompoundsBlood GlucoseGlucosidesHumansMusclesNatriuretic Peptide, BrainSodiumSodium-Glucose Transporter 2 InhibitorsSympathetic Nervous SystemBenzhydryl CompoundsBlood GlucosedapagliflozinGlucosidesNatriuretic Peptide, BrainSodiumSodium-Glucose Transporter 2 Inhibitorsbaroreflex sensitivitydiabetes mellitusheart failuremuscle sympathetic nerve activity

Identifiers

PMID34719241
PMCPMC8751957

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.