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  1. Article ; Online: Semaglutide and Heart Failure with Preserved Ejection Fraction and Obesity. Reply.

    Kosiborod, Mikhail N / Borlaug, Barry A / Petrie, Mark C

    The New England journal of medicine

    2024  Volume 389, Issue 25, Page(s) 2398–2399

    MeSH term(s) Humans ; Stroke Volume ; Heart Failure/drug therapy ; Glucagon-Like Peptides/therapeutic use ; Obesity/complications
    Chemical Substances semaglutide (53AXN4NNHX) ; Glucagon-Like Peptides (62340-29-8)
    Language English
    Publishing date 2024-01-01
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2312296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Chapter 3: Clinical Trials of Sodium-Glucose Co-Transporter-2 Inhibitors for Treatment of Heart Failure.

    Greene, Stephen J / Butler, Javed / Kosiborod, Mikhail N

    The American journal of medicine

    2024  Volume 137, Issue 2S, Page(s) S25–S34

    Abstract: Cardiovascular outcomes trials of sodium-glucose co-transporter-2 (SGLT2) inhibitors have demonstrated consistent signals of benefit in terms of both prevention and treatment of heart failure (HF), in patients with and without type 2 diabetes (T2D). In ... ...

    Abstract Cardiovascular outcomes trials of sodium-glucose co-transporter-2 (SGLT2) inhibitors have demonstrated consistent signals of benefit in terms of both prevention and treatment of heart failure (HF), in patients with and without type 2 diabetes (T2D). In response to growing evidence of the benefits of SGLT2 inhibitors, including increased survival, reduced hospitalizations and improved patient-reported symptoms, functional status, and quality of life, the treatment landscape for HF has evolved. Importantly, these agents have also demonstrated safety and tolerability in individuals with HF across the spectrum of left ventricular ejection fraction, with improvements in clinical and patient-reported outcomes occurring as early as days to weeks after treatment initiation. For patients with heart failure with reduced ejection fraction (HFrEF), SGLT2 inhibitors are now increasingly recognized as foundational disease-modifying therapy. An updated joint guideline from the American College of Cardiology and American Heart Association now recommends including SGLT2 inhibitors for patients with HF across the spectrum of ejection fraction, irrespective of the presence of diabetes, and regardless of background therapy (Class 1 recommendation for HFrEF, Class 2a recommendation for HF with mildly reduced ejection fraction [HFmrEF] and HF with preserved ejection fraction [HFpEF]). The European Society of Cardiology also include a Class I recommendation to use SGLT2 inhibitors for patients with HFrEF to reduce the risk of hospitalization for HF and CV death, irrespective of T2D status. This chapter reviews published clinical trial data about the efficacy and safety of SGLT2 inhibitors among patients with HFrEF, HFpEF, and patients hospitalized for HF.
    MeSH term(s) United States ; Humans ; Heart Failure/drug therapy ; Sodium-Glucose Transporter 2 Inhibitors/therapeutic use ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/drug therapy ; Quality of Life ; Stroke Volume ; Ventricular Function, Left ; Symporters ; Glucose ; Sodium
    Chemical Substances Sodium-Glucose Transporter 2 Inhibitors ; Symporters ; Glucose (IY9XDZ35W2) ; Sodium (9NEZ333N27)
    Language English
    Publishing date 2024-01-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80015-6
    ISSN 1555-7162 ; 1873-2178 ; 0002-9343 ; 1548-2766
    ISSN (online) 1555-7162 ; 1873-2178
    ISSN 0002-9343 ; 1548-2766
    DOI 10.1016/j.amjmed.2023.04.019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Response by Selvaraj et al to Letter Regarding Article, "Metabolomic Profiling of the Effects of Dapagliflozin in Heart Failure With Reduced Ejection Fraction: DEFINE-HF".

    Selvaraj, Senthil / Kosiborod, Mikhail N / Shah, Svati H

    Circulation

    2023  Volume 147, Issue 11, Page(s) 922–923

    MeSH term(s) Humans ; Benzhydryl Compounds/pharmacology ; Benzhydryl Compounds/therapeutic use ; Glucosides/therapeutic use ; Heart Failure/diagnosis ; Heart Failure/drug therapy
    Chemical Substances dapagliflozin (1ULL0QJ8UC) ; Benzhydryl Compounds ; Glucosides
    Language English
    Publishing date 2023-03-13
    Publishing country United States
    Document type Letter
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIRCULATIONAHA.122.063395
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: SGLT-2 Inhibitors in Heart Failure: Volume or Value?

    Kosiborod, Mikhail N / Vaduganathan, Muthiah

    Journal of the American College of Cardiology

    2021  Volume 77, Issue 11, Page(s) 1393–1396

    MeSH term(s) Heart Failure/drug therapy ; Humans ; Hypoglycemic Agents ; Sodium-Glucose Transporter 2 Inhibitors
    Chemical Substances Hypoglycemic Agents ; Sodium-Glucose Transporter 2 Inhibitors
    Language English
    Publishing date 2021-03-19
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 605507-2
    ISSN 1558-3597 ; 0735-1097
    ISSN (online) 1558-3597
    ISSN 0735-1097
    DOI 10.1016/j.jacc.2021.02.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Inter-relationships between cardiovascular, renal and metabolic diseases: Underlying evidence and implications for integrated interdisciplinary care and management.

    Vora, Jiten / Cherney, David / Kosiborod, Mikhail N / Spaak, Jonas / Kanumilli, Naresh / Khunti, Kamlesh / Lam, Carolyn S P / Bachmann, Michael / Fenici, Peter

    Diabetes, obesity & metabolism

    2024  Volume 26, Issue 5, Page(s) 1567–1581

    Abstract: Cardiovascular, renal and metabolic (CaReMe) diseases are individually among the leading global causes of death, and each is associated with substantial morbidity and mortality. However, as these conditions commonly coexist in the same patient, the ... ...

    Abstract Cardiovascular, renal and metabolic (CaReMe) diseases are individually among the leading global causes of death, and each is associated with substantial morbidity and mortality. However, as these conditions commonly coexist in the same patient, the individual risk of mortality and morbidity is further compounded, leading to a considerable healthcare burden. A number of pathophysiological pathways are common to diseases of the CaReMe spectrum, including neurohormonal dysfunction, visceral adiposity and insulin resistance, oxidative stress and systemic inflammation. Because of the shared pathology and common co-occurrence of the CaReMe diseases, the value of managing these conditions holistically is increasingly being realized. A number of pharmacological and non-pharmacological approaches have been shown to offer simultaneous metabolic, cardioprotective and renoprotective benefits, leading to improved patient outcomes across the CaReMe spectrum. In addition, increasing value is being placed on interdisciplinary team-based and coordinated care models built on greater integration between specialties to increase the rate of early diagnosis and adherence to practice guidelines, and improve clinical outcomes. This interdisciplinary approach also facilitates integration between primary and specialty care, improving the patient experience, optimizing resources, and leading to efficiencies and cost savings. As the burden of CaReMe diseases continues to increase, implementation of innovative and integrated care delivery models will be essential to achieve effective and efficient chronic disease management and to ensure that patients benefit from the best care available across all three disciplines.
    MeSH term(s) Humans ; Metabolic Diseases ; Delivery of Health Care, Integrated
    Language English
    Publishing date 2024-02-08
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1454944-x
    ISSN 1463-1326 ; 1462-8902
    ISSN (online) 1463-1326
    ISSN 1462-8902
    DOI 10.1111/dom.15485
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Intensity of Lipid-Lowering Therapy Among Patients With Polyvascular Disease.

    Peterson, Benjamin E / Bhatt, Deepak L / Ballantyne, Christie M / de Lemos, James A / Rosenson, Robert S / Kosiborod, Mikhail N / Cannon, Christopher P

    JAMA network open

    2023  Volume 6, Issue 3, Page(s) e234709

    MeSH term(s) Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors ; Anticholesteremic Agents ; Lipids
    Chemical Substances Hydroxymethylglutaryl-CoA Reductase Inhibitors ; Anticholesteremic Agents ; Lipids
    Language English
    Publishing date 2023-03-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2023.4709
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Long COVID - metabolic risk factors and novel therapeutic management.

    Khunti, Kamlesh / Davies, Melanie J / Kosiborod, Mikhail N / Nauck, Michael A

    Nature reviews. Endocrinology

    2021  Volume 17, Issue 7, Page(s) 379–380

    MeSH term(s) COVID-19/complications ; COVID-19/metabolism ; COVID-19/therapy ; Cardiometabolic Risk Factors ; Cardiovascular Diseases/complications ; Cardiovascular Diseases/therapy ; Diabetes Mellitus, Type 1/complications ; Diabetes Mellitus, Type 1/therapy ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/therapy ; Humans ; Hypoglycemic Agents/therapeutic use ; Risk Factors
    Chemical Substances Hypoglycemic Agents
    Language English
    Publishing date 2021-04-17
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2489381-X
    ISSN 1759-5037 ; 1759-5029
    ISSN (online) 1759-5037
    ISSN 1759-5029
    DOI 10.1038/s41574-021-00495-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Two Tales: One Story: EMPEROR-Reduced and DAPA-HF.

    Verma, Subodh / McGuire, Darren K / Kosiborod, Mikhail N

    Circulation

    2020  Volume 142, Issue 23, Page(s) 2201–2204

    MeSH term(s) Benzhydryl Compounds/therapeutic use ; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/drug therapy ; Diabetes Mellitus, Type 2/epidemiology ; Glucosides/therapeutic use ; Heart Failure/blood ; Heart Failure/drug therapy ; Heart Failure/epidemiology ; Humans ; Kidney Diseases/blood ; Kidney Diseases/epidemiology ; Kidney Diseases/prevention & control ; Natriuretic Peptide, Brain/blood ; Peptide Fragments/blood ; Randomized Controlled Trials as Topic/methods ; Sodium-Glucose Transporter 2 Inhibitors/therapeutic use
    Chemical Substances Benzhydryl Compounds ; Glucosides ; Peptide Fragments ; Sodium-Glucose Transporter 2 Inhibitors ; pro-brain natriuretic peptide (1-76) ; Natriuretic Peptide, Brain (114471-18-0) ; dapagliflozin (1ULL0QJ8UC) ; empagliflozin (HDC1R2M35U)
    Language English
    Publishing date 2020-09-24
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80099-5
    ISSN 1524-4539 ; 0009-7322 ; 0069-4193 ; 0065-8499
    ISSN (online) 1524-4539
    ISSN 0009-7322 ; 0069-4193 ; 0065-8499
    DOI 10.1161/CIRCULATIONAHA.120.051122
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Early Longitudinal Change in Heart Failure Health Status Following Initiation of Canagliflozin.

    Mohebi, Reza / Jones, Philip G / Spertus, John A / Lingvay, Ildiko / Lanfear, David E / Gosch, Kensey L / Birmingham, Mary / Kosiborod, Mikhail N / Butler, Javed / Januzzi, James L

    JACC. Heart failure

    2024  Volume 12, Issue 4, Page(s) 711–718

    Abstract: Background: Sodium glucose co-transporter 2 inhibitor (SGLT2i) therapy improves health status in heart failure (HF). There is insufficient description regarding the timing, rate, and extent of the health status changes in heart failure with preserved ... ...

    Abstract Background: Sodium glucose co-transporter 2 inhibitor (SGLT2i) therapy improves health status in heart failure (HF). There is insufficient description regarding the timing, rate, and extent of the health status changes in heart failure with preserved ejection fraction (HFpEF) and heart failure with reduced ejection fraction (HFrEF) after initiation of SGLT2is.
    Objectives: The authors sought to model the association of canagliflozin treatment with rates of change in HF symptom status in HFpEF and HFrEF.
    Methods: Study participants with HFrEF and HFpEF were treated with either canagliflozin 100 mg or placebo for 12 weeks. The Kansas City Cardiomyopathy Questionnaire Total Symptom Score (KCCQ-TSS) was assessed at baseline and at 2, 4, 6, and 12 weeks. Longitudinal modeling assessed slope of KCCQ change across the study.
    Results: Among 448 individuals with HF (181 with HFrEF and 267 with HFpEF), participants with HFpEF had lower baseline KCCQ-TSS scores than those with HFrEF (54 ± 21 vs 64 ± 20). Modeling demonstrated initial rapid improvement in KCCQ-TSS in both HF groups, with deceleration over the next 4 to 6 weeks. The rate of change was greater among HFpEF participants (0.7 points/day; 95% CI: 0.3-1.1 points/day) than HFrEF participants (ΔKCCQ-TSS/day = 0.5; 95% CI: 0.1-1.0 points/day) randomized to canagliflozin, but these differences were not statistically significant (0.2 points/day; 95% CI: -0.4 to 0.7 points/day; P = 056).
    Conclusions: After canagliflozin therapy, regardless of EF, modeling shows the KCCQ-TSS improves rapidly with the greatest improvements occurring within the first weeks of treatment. These results have implications for clinical use of SGLT2is and may be useful in the design of trials examining impact of these agents on health status in HF. (A Study on Impact of Canagliflozin on Health Status, Quality of Life, and Functional Status in Heart Failure [CHIEF-HF]; NCT04252287).
    MeSH term(s) Humans ; Heart Failure ; Quality of Life ; Canagliflozin/therapeutic use ; Stroke Volume ; Health Status
    Chemical Substances Canagliflozin (0SAC974Z85)
    Language English
    Publishing date 2024-02-21
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 2705621-1
    ISSN 2213-1787 ; 2213-1779
    ISSN (online) 2213-1787
    ISSN 2213-1779
    DOI 10.1016/j.jchf.2024.01.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Effect of PCI on Health Status in Ischemic Left Ventricular Dysfunction: Insights From REVIVED-BCIS2.

    Ryan, Matthew / Taylor, Dylan / Dodd, Matthew / Spertus, John A / Kosiborod, Mikhail N / Shaukat, Aadil / Docherty, Kieran F / Clayton, Tim / Perera, Divaka / Petrie, Mark C

    JACC. Heart failure

    2024  

    Abstract: Background: In the REVIVED-BCIS2 (Revascularization for Ischemic Ventricular Dysfunction) trial, percutaneous coronary intervention (PCI) did not reduce the incidence of death or hospitalization for heart failure (HHF).: Objectives: This prespecified ...

    Abstract Background: In the REVIVED-BCIS2 (Revascularization for Ischemic Ventricular Dysfunction) trial, percutaneous coronary intervention (PCI) did not reduce the incidence of death or hospitalization for heart failure (HHF).
    Objectives: This prespecified secondary analysis investigated the effect of PCI on health status measured with the Kansas City Cardiomyopathy Questionnaire (KCCQ) combined with the primary outcome in a win ratio.
    Methods: Participants with severe ischemic left ventricular dysfunction were randomized to either PCI in addition to optimal medical therapy (OMT) (PCI) or OMT alone (OMT). The primary outcome was a hierarchical composite of all-cause death, HHF, and KCCQ-Overall Summary Score (OSS) at 24 months analyzed using the unmatched win ratio. The key secondary endpoint was a KCCQ-OSS responder analysis.
    Results: A total of 347 participants were randomized to PCI and 353 to OMT. Median age was 70.0 years (Q1-Q3: 63.3-76.1 years). Mean left ventricular ejection fraction was 27.0 ± 6.7%. PCI did not improve the primary endpoint (win ratio for PCI vs OMT: 1.05; 95% CI: 0.88-1.26; P = 0.58). PCI resulted in more KCCQ-OSS responders than OMT at 6 months (54.1% vs 40.7%; OR: 1.96; 95% CI: 1.41-2.71; P < 0.001) and fewer deteriorators (25.2% vs 31.4%; OR: 0.69; 95% CI: 0.47-1.00; P = 0.048). PCI did not impact KCCQ-OSS responders or deteriorators at 12 or 24 months.
    Conclusions: PCI did not improve the hierarchical composite of death, HHF, and health status at 2 years. PCI improved KCCQ-OSS at 6 months, but this benefit was not sustained to 1- or 2-year follow-up. (Revacularization for Ischemic Ventricular Dysfunction [REVIVED-BCIS2]; NCT01920048).
    Language English
    Publishing date 2024-04-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2705621-1
    ISSN 2213-1787 ; 2213-1779
    ISSN (online) 2213-1787
    ISSN 2213-1779
    DOI 10.1016/j.jchf.2024.03.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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