Evidence map›Paper›PMID 39340234›Full record

Observational studyESC heart failure2025

Real-world data on Empagliflozin and Dapagliflozin use in patients with HEART failure: The RED-HEART study.

Umut Kocabas, Isil Ergin, Veysel Yavuz, Cihan Altın, Mehmet Kaplan, Gülsüm Meral Yılmaz Öztekin, Mustafa Doğduş, Selda Murat, Bektaş Murat, Tarık Kıvrak and 15 more

Registry-linked trialAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06707220 (The Türkiye Heart Failure), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT06707220 recruitingnot on this map

The Türkiye Heart Failure (TURK-HF) Registry

Typeobservational_patient_registrySponsorBaskent UniversityRan2025 to 2027Enrolled5,000ConditionsHeart FailureArmsHeart failure medication
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Review
  8. Observational
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Observational
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

25 authors.

Umut KocabasDepartment of Cardiology, Başkent University İzmir Hospital, İzmir, Türkiye.
Isil ErginDepartment of Public Health, Faculty of Medicine, Ege University, İzmir, Türkiye.
Veysel YavuzDepartment of Cardiology, Akhisar Mustafa Kirazoglu State Hospital, Manisa, Türkiye.
Cihan AltınDepartment of Cardiology, İzmir University of Economics, Faculty of Medicine, Medical Point Hospital, İzmir, Türkiye.
Mehmet KaplanDepartment of Cardiology, Gaziantep University Medical School, Gaziantep, Türkiye.
Gülsüm Meral Yılmaz ÖztekinDepartment of Cardiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Türkiye.
Mustafa DoğduşDepartment of Cardiology, İzmir University of Economics, Faculty of Medicine, Medical Point Hospital, İzmir, Türkiye.
Selda MuratDepartment of Cardiology, Eskişehir Osmangazi University, Eskişehir, Türkiye.
Bektaş MuratDepartment of Cardiology, Eskişehir City Hospital, Eskişehir, Türkiye.
Tarık KıvrakDepartment of Cardiology, Firat University Medical School, Elâzığ, Türkiye.
Dilay KarabulutDepartment of Cardiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Türkiye.
Ersin KayaDepartment of Cardiology, Dr Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, İzmir, Türkiye.
İbrahim Halil ÖzdemirDepartment of Cardiology, Manisa City Hospital, Manisa, Türkiye.
Cennet YıldızDepartment of Cardiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Türkiye.
Fatma Özge SalkınDepartment of Cardiology, Seyhan State Hospital, Adana, Türkiye.
Emre ÖzçalıkDepartment of Cardiology, Başkent University İzmir Hospital, İzmir, Türkiye.
Şeyda Günay PolatkanDepartment of Cardiology, Bursa Uludag University, Faculty of Medicine, Bursa, Türkiye.
Fahri ÇakanDepartment of Cardiology, Cerkezkoy State Hospital, Tekirdağ, Türkiye.
Taner ŞenDepartment of Cardiology, Kutahya Health Sciences University, Kütahya, Türkiye.
Umut KarabulutDepartment of Cardiology, Istanbul Acıbadem International Hospital, Istanbul, Türkiye.
Sinem ÇakalDepartment of Cardiology, Haseki Training and Research Hospital, Istanbul, Türkiye.
Ersan OflarDepartment of Cardiology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Türkiye.
Ümit Yaşar SinanDepartment of Cardiology, Istanbul University-Cerrahpasa Institute of Cardiology, Istanbul, Türkiye.
Mustafa YenerçağDepartment of Cardiology, Samsun University, Faculty of Medicine, Samsun, Türkiye.
Uğur Önsel TürkDepartment of Cardiology, İzmir University of Economics, Faculty of Medicine, Medical Point Hospital, İzmir, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe aimed to determine the use of sodium-glucose cotransporter 2 inhibitors (SGLT2is) and to identify clinical factors associated with their use in patients with heart failure (HF) in a real-life setting.

methodsReal-world data on Empagliflozin and Dapagliflozin use in patients with HEART failure: The RED-HEART study is a multicentre, cross-sectional and observational study that included HF patients in the outpatient setting regardless of ejection fraction from 19 cardiology centres between August 2023 and December 2023.

resultsThe study population consisted of 1923 patients with HF, predominantly men (61.2%), with a median age of 66 (range: 19-101) years. Overall, 925 patients (48.1%) were receiving SGLT2is. Among the study population, 22.1% had HF with preserved ejection fraction, 21.5% had HF with mildly reduced ejection fraction, 56.4% had HF with reduced ejection fraction and the use of SGLT2is was 42.0%, 47.9% and 50.6% in each group, respectively (P = 0.012). The use of SGLT2is was 76.6% in patients with HF and diabetes, 19.8% in patients with HF and chronic kidney disease and 26.8% in patients without diabetes and chronic kidney disease (P < 0.001). Higher education level [odds ratio (OR): 1.80; 95% confidence interval (CI): 1.06-3.05; P = 0.027], higher household income (OR: 3.46; 95% CI: 1.27-9.42; P = 0.015), New York Heart Association functional class IV (OR: 2.72; 95% CI: 1.16-6.35; P = 0.021), diabetes (OR: 9.42; 95% CI: 6.72-13.20; P < 0.001), the use of angiotensin receptor-neprilysin inhibitors (ARNis) (OR: 4.09; 95% CI: 2.39-7.01; P < 0.001), the use of mineralocorticoid receptor antagonists (MRAs) (OR: 2.02; 95% CI: 1.49-2.75; P < 0.001), the use of loop diuretics (OR: 1.62; 95% CI: 1.18-2.22; P = 0.003) and the use of thiazide diuretics (OR: 1.72; 95% CI: 1.30-2.29; P < 0.001) were independently associated with the use of SGLT2is. Conversely, atrial fibrillation (OR: 0.63; 95% CI: 0.45-0.88; P = 0.008), chronic kidney disease (OR: 0.53; 95% CI: 0.37-0.76; P = 0.001), the use of dihydropyridine calcium channel blockers (OR: 0.68; 95% CI: 0.48-0.98; P = 0.042) and the use of statins (OR: 0.67; 95% CI: 0.49-0.91; P = 0.010) were independently associated with the non-use of SGLT2is.

conclusionsThe RED-HEART study provided comprehensive real-world data about implementing SGLT2is in patients with HF. These results suggest that there is a need for organized action and close collaboration between healthcare providers to improve the implementation of SGLT2is, especially in patients with HF with preserved ejection fraction and chronic kidney disease.

Indexed as

Benzhydryl CompoundsGlucosidesHeart FailureSodium-Glucose Transporter 2 InhibitorsStroke VolumeAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultBenzhydryl CompoundsdapagliflozinempagliflozinGlucosidesSodium-Glucose Transporter 2 Inhibitorsguidelineheart failuresodium–glucose cotransporter 2 inhibitors

Identifiers

PMID39340234
PMCPMC11769646

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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.