Evidence map›Paper›PMID 40660363›Full record

ArticleTrials2025

Effects of SGLT2 inhibitors on cardiac autonomic activity and ventricular remodeling in patients with acute myocardial infarction: study protocol for a clinical trial.

Jun Wan, Qinglong Zhang, Feng Xu, Xin Jiang, Cai Chen, Xiaodong Pan, Jinglin Cheng, He Li

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Jun WanDepartment of Emergency Internal Medicine, the Second Affiliated Hospital of Anhui Medical university, No. 678 Furong Road, Economic and Technological Development Zone, Hefei, 230001, Anhui, China.
Qinglong ZhangDepartment of Emergency Internal Medicine, the Second Affiliated Hospital of Anhui Medical university, No. 678 Furong Road, Economic and Technological Development Zone, Hefei, 230001, Anhui, China.
Feng XuDepartment of Emergency Internal Medicine, the Second Affiliated Hospital of Anhui Medical university, No. 678 Furong Road, Economic and Technological Development Zone, Hefei, 230001, Anhui, China.
Xin JiangDepartment of Electrocardiographic Diagnosis, the Second Affiliated Hospital of Anhui Medical University, No. 678 Furong Road, Economic and Technological Development Zone, Hefei, 230001, Anhui, China.
Cai ChenDepartment of Emergency Internal Medicine, the Second Affiliated Hospital of Anhui Medical university, No. 678 Furong Road, Economic and Technological Development Zone, Hefei, 230001, Anhui, China.
Xiaodong PanDepartment of Emergency Internal Medicine, the Second Affiliated Hospital of Anhui Medical university, No. 678 Furong Road, Economic and Technological Development Zone, Hefei, 230001, Anhui, China.
Jinglin ChengDepartment of Emergency Internal Medicine, the Second Affiliated Hospital of Anhui Medical university, No. 678 Furong Road, Economic and Technological Development Zone, Hefei, 230001, Anhui, China.
He LiDepartment of Emergency Surgery, the Second Affiliated Hospital of Anhui Medical University, No. 678 Furong Road, Economic and Technological Development Zone, Hefei, 230001, Anhui, China. Lihe@ahmu.edu.cn.

Funding

Anhui Medical University 2023xkj163
6 · The paper itself

Abstract

backgroundSodium-glucose co-transporter 2 inhibitors (SGLT2-I) exhibit significant cardiovascular protective effects in patients with acute myocardial infarction (AMI) complicated with type 2 diabetes mellitus (T2DM), mainly through enhancing cardiac function and reducing malignant arrhythmias. However, limited evidence exists regarding their efficacy in non-diabetic AMI patients. Moreover, the relationship between these benefits and improvements in cardiac autonomic function and left ventricular remodeling remains contentious, hindering a comprehensive understanding of their mechanisms of action. This study aims to fill this knowledge gap regarding dapagliflozin's effects on cardiac autonomic activity and ventricular remodeling in AMI patients.

methodsThis study is a prospective, randomized, open-label, assessor-blinded, single-center trial in AMI patients in China. A total of 110 participants will be randomly allocated in a 1:1 ratio to either receive standardized treatment alone or receive standardized treatment along with 10 mg of dapagliflozin taken once daily. The primary endpoint is the change from the baseline to 24 weeks in heart rate variability (HRV) and deceleration capacity (DC) measured by 24-h ambulatory Holter monitoring. Secondary endpoints include changes in the left ventricular remodeling index (a relative change of LV end-diastolic volume, LVRI) as measured from baseline, along with the incidence of major adverse cardiovascular events throughout the follow-up period. Changes in various variables from the baseline will also be analyzed, encompassing glucose and lipid levels, blood pressure, body weight, and biomarkers linked to diagnostic and functional parameters of AMI, such as creatine kinase, troponin I (TnI) level, and N terminal pro B type natriuretic peptide (NT-proBNP) level. DISCUSSION: This will be the first trial to evaluate the effects of dapagliflozin on cardiac autonomic function and ventricular remodeling in AMI patients. This study seeks to elucidate the mechanisms underlying dapagliflozin's cardioprotective effects, potentially informing future therapeutic strategies for improving outcomes in this population.

trial registrationClinical trial ID: ChiCTR2400084050. Registration date: May 9, 2024.

Indexed as

Benzhydryl CompoundsGlucosidesHeartMyocardial InfarctionSodium-Glucose Transporter 2 InhibitorsVentricular Function, LeftVentricular RemodelingAdultAutonomic Nervous SystemChinaDiabetes Mellitus, Type 2Electrocardiography, AmbulatoryFemaleHeart RateHumansMaleBenzhydryl CompoundsdapagliflozinGlucosidesSodium-Glucose Transporter 2 InhibitorsAcute myocardial infarction patientsCardiac autonomic activityDapagliflozinVentricular remodeling

Identifiers

PMID40660363
PMCPMC12257681

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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.