Evidence map›Paper›PMID 40134442›Full record

ArticleJournal of medicine and life2025

The real-world anti-inflammatory effect of SGLT2i in patients with chronic heart failure.

Alexandru Mircea Arvunescu, Ruxandra Florentina Ionescu, Silviu Ionel Dumitrescu, Ondin Zaharia, Ioan Tiberiu Nanea

Abstract read
In one paragraph

Article in Journal of medicine and life, 2025. 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
–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

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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.

  1. Review
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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

5 authors.

Alexandru Mircea ArvunescuDepartment of Cardio-Thoracic Pathology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Ruxandra Florentina IonescuDepartment of Cardiology I, Dr. Carol Davila Central Military Emergency Hospital, Bucharest, Romania.
Silviu Ionel DumitrescuDepartment of Cardiology I, Dr. Carol Davila Central Military Emergency Hospital, Bucharest, Romania.
Ondin ZahariaDepartment of Cardio-Thoracic Pathology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Ioan Tiberiu NaneaDepartment of Cardio-Thoracic Pathology, Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammation plays a major role in the etiology of chronic heart failure and in inducing the progression to end-stage heart failure. This chronic inflammation, which accompanies heart failure, is not only local but also systemic and is usually in a state of low-grade but constant activation. Because there is an interrelation between systemic inflammation and neurohormonal activation, almost all anti-remodeling classes of medication have been evaluated for a potential and hidden anti-inflammatory effect. This study aimed to evaluate the effect of sodium-glucose co-trans-porter 2 inhibitors (SGLT2i) (Dapagliflozin or Empagliflozin) on inflammation measured by C-reactive protein levels, erythrocyte sedimentation rate (ESR) and fibrinogen in patients with chronic heart failure when administered together with other standard heart failure medications. We retrospectively enrolled 220 patients with chronic heart failure admitted to our hospital from January 2021 until March 2023. The study included two visits, T0 (the initial visit) and T1 (after six months), to assess if SGLT2i initiation after the first visit (T0) had an effect on the levels of inflammatory biomarkers. SGLT2i showed a reduction in fibrinogen levels, an effect that was present both in heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF) phenotypes. This was opposite to the dynamics of inflammatory markers in patients who did not receive SGLT2i, where the fibrinogen levels increased in HFrEF and HFpEF subgroups. SGLT2i proved an anti-inflammatory effect, showing a statistically significant reduction in fibrinogen levels in chronic heart failure, irrespective of the phenotype.

Indexed as

Anti-Inflammatory AgentsHeart FailureInflammationSodium-Glucose Transporter 2 InhibitorsAgedBenzhydryl CompoundsBiomarkersChronic DiseaseC-Reactive ProteinFemaleFibrinogenGlucosidesHumansMaleMiddle AgedRetrospective StudiesAnti-Inflammatory AgentsBenzhydryl CompoundsBiomarkersC-Reactive ProteindapagliflozinempagliflozinFibrinogenGlucosidesSodium-Glucose Transporter 2 InhibitorsCHF, Chronic Heart Failurechronic inflammationC-reactive proteinCRP, C-Reactive ProteinEF, Ejection FractionESC, European Society of CardiologyESRfibrinogenheart failureHF, Heart FailureHFmrEF, Heart Failure With Mildly Reduced Ejection FractionHFpEFHFpEF, Heart Failure With Preserved Ejection FractionHFrEFHFrEF, Heart Failure With Reduced Ejection FractionIL-6, Interleukin 6left ventricular ejection fractionLVEF, Left Ventricular Ejection FractionNT-proBNP, Amino-Terminal End of Pro Brain Natriuretic PeptideOGMT, Optimally Tolerated Guideline-Directed Medical TreatmentSGLT2iSGLT2i, Sodium-Glucose Co-Transporter 2 InhibitorsTNF, Tumor Necrosis Factor

Identifiers

PMID40134442
PMCPMC11932508

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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.