Evidence map›Paper›PMID 35355435›Full record

ArticleESC heart failure2022

The first experience with sodium-glucose cotransporter 2 inhibitor for the treatment of systemic right ventricular failure.

Anastasia D Egorova, Marieke Nederend, Laurens F Tops, Hubert W Vliegen, Monique R M Jongbloed, Philippine Kiès

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06932081 (Adult Congenital Heart Disease International EValuation of the Effectiveness of SGLT2i), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% of its field
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.

NCT06932081 recruitingnot on this mapstarted 2023, after this paper: background citation

Adult Congenital Heart Disease International EValuation of the Effectiveness of SGLT2i (ACHIEVE-SGLT2i) Registry

Typeobservational_patient_registrySponsorLeiden University Medical CenterRan2023 to 2027Enrolled400ConditionsAdult Congenital Heart Disease, Congenital Heart Disease, Systemic Right Ventricle, Transposition of the Great ArteriesArmsSGLT2 inhibitors
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. A Systematic Review and Meta-Analysis of the Safety and Efficacy of SGLT2 Inhibitors in Chronic Heart Failure in ACHD Patients.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
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  11. Management of Pediatric Heart Failure.Korean circulation journal · 2024
    Review
  12. Review
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  14. Article
  15. Article
  16. Article
  17. Cardiac Drugs in ACHD Cardiovascular Medicine.Journal of cardiovascular development and disease · 2023
    Review
  18. Article
  19. Review
  20. Article
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

6 authors at 1 institution in 1 country.

Anastasia D EgorovaCAHAL, Center for Congenital Heart Disease Amsterdam Leiden, Leiden University Medical Center, Leiden, The Netherlands.
Marieke NederendCAHAL, Center for Congenital Heart Disease Amsterdam Leiden, Leiden University Medical Center, Leiden, The Netherlands.
Laurens F TopsDepartment of Cardiology, Leiden Heart-Lung Center, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.
Hubert W VliegenCAHAL, Center for Congenital Heart Disease Amsterdam Leiden, Leiden University Medical Center, Leiden, The Netherlands.
Monique R M JongbloedCAHAL, Center for Congenital Heart Disease Amsterdam Leiden, Leiden University Medical Center, Leiden, The Netherlands.
Philippine KièsCAHAL, Center for Congenital Heart Disease Amsterdam Leiden, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In congenitally corrected transposition of the great arteries, the morphological right ventricle supports the systemic circulation. This chronic exposure to pressure overload ultimately leads to systemic right ventricular (sRV) dysfunction and heart failure. Pharmacological options for the treatment of sRV failure are poorly defined and no solid recommendations are made in the most recent guidelines. Sodium-glucose cotransporter 2 (SGLT-2) inhibitors are a new class of antihyperglycaemic drugs that have been demonstrated to significantly reduce the risk of worsening heart failure and death from cardiovascular causes in patients with chronic heart failure with reduced left ventricular ejection fraction, yet no data are available in sRV patients. We report on the treatment and clinical follow-up of a patient with advanced heart failure and poor sRV function in the context of congenitally corrected transposition of the great arteries, who did not tolerate sacubitril/valsartan and had a high burden of heart-failure-related hospitalizations. Treatment with dapagliflozin was well tolerated and resulted in (small) subjective and objective functional and echocardiographic improvement and a reduction in heart-failure-related hospitalizations.

Indexed as

Heart FailureTransposition of Great VesselsVentricular Dysfunction, RightAminobutyratesBiphenyl CompoundsCongenitally Corrected Transposition of the Great ArteriesGlucoseHumansSodiumStroke VolumeVentricular Function, LeftAminobutyratesBiphenyl CompoundsGlucosesacubitrilSodiumAdult congenital heart diseaseChronic heart failureSodium-glucose cotransporter inhibitorCongenital heart diseaseHeart failureSystemic right ventricle

Identifiers

PMID35355435
PMCPMC9065858
OpenAlexW4221085910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.