Evidence map›Paper›PMID 36565199›Full record

Trial reportJournal of the American Heart Association2023

Impact of Empagliflozin in Heart Failure With Reduced Ejection Fraction in Patients With Ischemic Versus Nonischemic Cause.

Muhammad Shahzeb Khan, Javed Butler, Stefan D Anker, Gerasimos Filippatos, João Pedro Ferreira, Stuart J Pocock, James L Januzzi, Ileana L Piña, Michael Böhm, Piotr Ponikowski and 6 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Safety and efficacy of SGLT2 inhibitors in heart failure patients with ischemic and non-ischemic etiologies: a systematic review and meta-analyses.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Review
  3. 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

16 authors at 12 institutions in 8 countries.

Muhammad Shahzeb KhanDivision of Cardiology Duke University School of Medicine Durham NC.ORCID 0000-0003-1250-6351
Javed ButlerBaylor Scott and White Research Institute Dallas TX.ORCID 0000-0001-7683-4720
Stefan D AnkerDepartment of Cardiology (CVK) Berlin Institute of Health Center for Regenerative Therapies (BCRT), German Centre for Cardiovascular Research (DZHK) partner site Berlin Berlin Germany.ORCID 0000-0002-0805-8683
Gerasimos FilippatosNational and Kapodistrian University of Athens School of Medicine, Athens University Hospital Attikon Athens Greece.ORCID 0000-0002-5640-0332
João Pedro FerreiraInstitut Lorrain du Coeur et des Vaisseaux Nancy France.ORCID 0000-0002-2304-6138
Stuart J PocockDepartment of Medical Statistics, London School of Hygiene & Tropical Medicine London United Kingdom.
James L JanuzziHarvard Medical School, Massachusetts General Hospital Boston MA.ORCID 0000-0002-8338-1798
Ileana L PiñaDepartment of Medicine Wayne State and Central Michigan Universities Detroit MI.ORCID 0000-0002-4986-7129
Michael BöhmDepartment of Internal Medicine III University Hospital Saarland, Saarland University Homburg Saar Germany.ORCID 0000-0002-2976-2514
Piotr PonikowskiCentre for Heart Diseases Wrocław Medical University Wrocław Poland.ORCID 0000-0002-3391-7064
Subodh VermaDivision of Cardiac Surgery, St Michael's Hospital University of Toronto Toronto Canada.ORCID 0000-0002-4018-8533
Martina BrueckmannBoehringer Ingelheim International GmbH Ingelheim Germany.ORCID 0000-0003-1215-0746
Ola VedinBoehringer Ingelheim AB Stockholm Sweden.
Cordula ZellerUniversité de Lorraine, CIC Inserm, CHRU Nancy Nancy France.ORCID 0000-0002-0639-8836
Faiez ZannadBoehringer Ingelheim Pharma GmbH & Co. KG Biberach Germany.ORCID 0000-0001-7456-1570
Milton PackerBaylor University Medical Center Dallas TX.ORCID 0000-0003-1828-2387
Boehringer Ingelheim (Germany) · DEWroclaw Medical University · PLBaylor University Medical Center · USDuke University · USInstitut des Vaisseaux et du Sang · FRMassachusetts General Hospital · USNational and Kapodistrian University of Athens · GRSaarland University · DESt. Michael's Hospital · CAUniversity of London · GBUniversity of Mississippi · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Outcomes and treatment effects of therapy may vary according to the cause of heart failure (HF). Methods and Results In this post hoc analysis of the EMPEROR-Reduced (Empagliflozin Outcome Trial in Patients With Chronic Heart Failure With Reduced Ejection Fraction) trial, the effect of empagliflozin on cardiovascular and renal outcomes was assessed according to the cause of HF. The cause of HF was investigator reported and stratified as ischemic or nonischemic. Cox proportional hazards models were used to calculate hazard ratios (HRs) and 95% CIs. Of the 3730 patients enrolled, 1929 (51.7%) had ischemic cause. In the placebo arm, patients with ischemic cause of HF did not have a significantly higher risk of cardiovascular mortality (HR, 1.21 [95% CI, 0.90-1.63]) and hospitalization for HF (HR, 0.90 [95% CI, 0.72-1.12]) compared with nonischemic cause. Empagliflozin compared with placebo significantly reduced the risk of cardiovascular death or hospitalization for HF in patients with ischemic and nonischemic cause (HR, 0.82 [95% CI, 0.68-0.99] for ischemic and HR, 0.67 [95% CI, 0.55-0.82] for nonischemic cause;

Indexed as

Diabetes Mellitus, Type 2Heart FailureVentricular Dysfunction, LeftBenzhydryl CompoundsGlucosidesHumansStroke VolumeBenzhydryl CompoundsempagliflozinGlucosidesempagliflozinheart failureischemic causereduced ejection fractionsodium‐glucose co‐transporter‐2

Identifiers

PMID36565199
PMCPMC9973606
OpenAlexW4313522178

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.