Evidence map›Paper›PMID 36112311›Full record

ArticleAdvances in therapy2022

Heart Failure with Preserved Ejection Fraction and Obstructive Sleep Apnea: A Novel Paradigm for Additional Cardiovascular Benefit of SGLT2 Inhibitors in Subjects With or Without Type 2 Diabetes.

Vincenzo Maria Monda, Sandro Gentile, Francesca Porcellati, Ersilia Satta, Alessandro Fucili, Marcello Monesi, Felice Strollo

Open access · hybridAbstract readEditorial
In one paragraph

Article in Advances in therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Evaluating the potential of metabolic drugs in obstructive sleep apnea and obesity: a narrative review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Heart failure with preserved ejection fraction risk is associated with prevalence and severity of obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  12. Review
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

7 authors at 4 institutions in 1 country.

Vincenzo Maria MondaDiabetes Unit "Santissima Annunziata" Hospital Cento, Ferrara, Italy.
Sandro GentileDepartment of Precision Medicine, Campania University "Luigi Vanvitelli", Naples, Italy. s.gentile1949@gmail.com.ORCID http://orcid.org/0000-0002-9059-6121
Francesca PorcellatiSection of Internal Medicine, Endocrinology and Metabolism, Department of Medicine, Perugia University School of Medicine, Perugia, Italy.
Ersilia SattaPolyspecialistic Nephrologic Center CNP Srl, Fratta Maggiore, Italy.
Alessandro FuciliCardiovascular Research Center, Ferrara University, Ferrara, Italy.
Marcello MonesiDiabetes Unit "Sant'Anna" Hospital Ferrara, Ferrara, Italy.
Felice StrolloDepartment of Endocrinology and Diabetes, IRCCS San Raffaele Pisana, Rome, Italy.
IRCCS Ospedale San Raffaele · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Ferrara · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After examining the complex interplay between heart failure (HF) in its various clinical forms, metabolic disorders like nonalcoholic fatty liver disease (NAFLD), and obstructive sleep apnea (OSA) syndrome, in this mini-review we described possible favorable effects of sodium-glucose cotransporter 2 inhibitors (SGLT2is) on HF with preserved (i.e., ≥ 50%) ejection fraction (HFpEF) through enhanced cardiorenal function and visceral-subcutaneous body fat redistribution. In greater detail, on the basis of pathophysiological mechanisms underlying OSA onset and the direct positive SGLT2i effect on renal function benefiting chronic kidney disease, we emphasized the promising role of SGLT2is in prevention, rehabilitation, and treatment of patients with OSA regardless of coexisting type 2 diabetes (T2DM). Indeed, SGLT2is enhance lipolysis and fatty acid beta-oxidation. These phenomena might prevent OSA by reducing the size of visceral and subcutaneous adipose tissue and, as proven in humans and animals with T2DM, counteract NAFLD onset and progression. The aforementioned mechanisms may represent an additional SGLT2i cardioprotective effect in terms of HFpEF prevention in patients with OSA, whose NAFLD prevalence is estimated to be over 50%.

Indexed as

Diabetes Mellitus, Type 2Heart FailureNon-alcoholic Fatty Liver DiseaseSleep Apnea, ObstructiveSodium-Glucose Transporter 2 InhibitorsAnimalsFatty AcidsGlucoseHumansSodiumStroke VolumeFatty AcidsGlucoseSodiumSodium-Glucose Transporter 2 InhibitorsCardiorenal protectionHeart failureNAFLDObstructive sleep apneaPreserved ejection fractionRehabilitationSGLT2isT2DM

Identifiers

PMID36112311
PMCPMC9525351
OpenAlexW4296035298

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.