Evidence map›Paper›PMID 40166601›Full record

ArticleFrontiers in cardiovascular medicine2025

Dapagliflozin effects on exercise, cardiac remodeling, biomarkers, and renal and pulmonary function in heart failure patients: not as good as expected?

Massimo Mapelli, Irene Mattavelli, Elisabetta Salvioni, Nicolò Capra, Valentina Mantegazza, Anna Garlaschè, Jeness Campodonico, Filippo Maria Rubbo, Chiara Paganin, Teresa Maria Capovilla and 12 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Article
  2. 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

22 authors.

Massimo MapelliCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Irene MattavelliCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Elisabetta SalvioniCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Nicolò CapraCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Valentina MantegazzaCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Anna GarlaschèCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Jeness CampodonicoCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Filippo Maria RubboCardiovascular Department, "Azienda Sanitaria Universitaria Giuliano-Isontina," Trieste, Italy.
Chiara PaganinCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Teresa Maria CapovillaCardiovascular Department, "Azienda Sanitaria Universitaria Giuliano-Isontina," Trieste, Italy.
Alessandro Alberto NepitellaCardiology Division, Nostra Signora di Bonaria Hospital, San Gavino Monreale, Italy.
Rebecca CaputoCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Paola GugliandoloCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Carlo VignatiCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Beatrice PezzutoCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Fabiana De MartinoCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Giulia GrilliCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Marco ScatignaCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Alice BonomiCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Gianfranco SinagraCardiovascular Department, "Azienda Sanitaria Universitaria Giuliano-Isontina," Trieste, Italy.
Manuela MuratoriCentro Cardiologico Monzino, IRCCS, Milan, Italy.
Piergiuseppe AgostoniCentro Cardiologico Monzino, IRCCS, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sodium-glucose cotransporter-2 inhibitors (SGLT2-i) are standard therapy for heart failure (HF). We performed a holistic evaluation of dapagliflozin, including its effects on exercise performance, left ventricle (LV) reverse remodeling, cardiac biomarkers, fluid retention, and renal and pulmonary function. Methods: We enrolled HF reduced ejection fraction (LVEF) outpatients (EF <40%) eligible for SGLT2-i and performed cardiopulmonary exercise tests (CPET), pulmonary function tests, bioelectrical impedance vector analysis, and laboratory and echocardiographic assessments at baseline ( Results: None of the patients interrupted SGLT2-i for adverse events albeit follow-up was completed by 67 of 75 enrolled patients. At T2, mean LVEF increased (from 34.6 ± 7.8 to 37.5 ± 9.2%; Conclusions: Dapagliflozin induced positive LV remodeling, improvement of exercise ventilatory efficiency, and NYHA class but without peakVO

Indexed as

cardiopulmonary exercise testing (CPET)dapagliflozinheart failureHFrEFreverse remodelingSGLT2-i

Identifiers

PMID40166601
PMCPMC11955597

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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.