Evidence mapPaperPMID 34272791Full record

Trial reportEuropean journal of heart failure2021

Efficacy of dapagliflozin in heart failure with reduced ejection fraction according to body mass index.

Carly Adamson, Pardeep S Jhund, Kieran F Docherty, Jan Bělohlávek, Chern-En Chiang, Mirta Diez, Jarosław Drożdż, Andrej Dukát, Jonathan Howlett, Charlotta E A Ljungman and 14 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT03036124. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% of its field
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.

NCT03036124 phase3completed

Study to Evaluate the Effect of Dapagliflozin on the Incidence of Worsening Heart Failure or Cardiovascular Death in Patients With Chronic Heart Failure With Reduced Ejection Fraction

Ran2017Enrolled4,744Registered outcomes6Posted comparisons6ConditionsChronic Heart Failure With Reduced Ejection Fraction (HFrEF)Armsdapagliflozin, Placebo
Open the trial in the graph
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Obesity and Heart Failure: Introducing the Theme.Journal of cardiovascular development and disease · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. The Impact of Obesity on Cardiovascular Diseases: Heart Failure.Methodist DeBakey cardiovascular journal · 2025
    Review
  19. Article
  20. Putting More Weight on Obesity Trials in Heart Failure.Current heart failure reports · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 17 institutions in 13 countries.

Carly AdamsonBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Pardeep S JhundBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Kieran F DochertyBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Jan BělohlávekSecond Department of Internal Medicine, Cardiovascular Medicine, General Teaching Hospital, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Chern-En ChiangDivision of Cardiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Mirta DiezDivision of Cardiology, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina.
Jarosław DrożdżDepartment Cardiology, Medical University of Lodz, Lodz, Poland.
Andrej DukátFifth Department of Internal Medicine, Comenius University in Bratislava, Bratislava, Slovakia.
Jonathan HowlettLibin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Charlotta E A LjungmanInstitute of Medicine, Department of Molecular and Clinical Medicine/Cardiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Mark C PetrieBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
Morten SchouDepartment of Cardiology, Gentofte University Hospital Copenhagen, Copenhagen, Denmark.
Silvio E InzucchiSection of Endocrinology, Yale School of Medicine, New Haven, CT, USA.
Lars KøberDepartment of Cardiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Mikhail N KosiborodSaint Luke's Mid America Heart Institute, University of Missouri, Kansas City, MO, USA.
Felipe A MartinezUniversidad Nacional de Córdoba, Córdoba, Argentina.
Piotr PonikowskiCenter for Heart Diseases, University Hospital, Wroclaw Medical University, Wroclaw, Poland.
Marc S SabatineTIMI Study Group, Brigham and Women's Hospital, Boston, MA, USA.
Scott D SolomonDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Olof BengtssonLate Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Anna Maria LangkildeLate Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Daniel LindholmLate Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Mikaela SjöstrandLate Stage Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
John J V McMurrayBHF Cardiovascular Research Centre, University of Glasgow, Glasgow, UK.
University of Glasgow · GBAstraZeneca (Finland) · FIAstraZeneca (Spain) · ESBrigham and Women's Hospital · USComenius University Bratislava · SKGeneral University Hospital in Prague · CZGentofte Hospital · DKInstituto Cardiovascular de Buenos Aires · ARMedical University of Lodz · PLRigshospitalet · DKSaint Luke's Hospital · USTaipei Veterans General Hospital · TWUniversidad Nacional de Córdoba · ARUniversity of Calgary · CAUniversity of Gothenburg · SEWroclaw Medical University · PLYale University · US

Funding

British Heart Foundation RE/18/6/34217
6 · The paper itself

Abstract

aimsIn heart failure with reduced ejection fraction (HFrEF), there is an 'obesity paradox', where survival is better in patients with a higher body mass index (BMI) and weight loss is associated with worse outcomes. We examined the effect of a sodium-glucose co-transporter 2 inhibitor according to baseline BMI in the Dapagliflozin And Prevention of Adverse-outcomes in Heart Failure trial (DAPA-HF). METHODS AND

resultsBody mass index was examined using standard categories, i.e. underweight (<18.5 kg/m

conclusionWe confirmed an 'obesity survival paradox' in HFrEF. We showed that dapagliflozin was beneficial across the wide range of BMI studied. CLINICAL

trial registrationClinicalTrials.gov NCT03036124.

Indexed as

Heart FailureBenzhydryl CompoundsBody Mass IndexGlucosidesHumansStroke VolumeBenzhydryl CompoundsdapagliflozinGlucosidesAdiposityBody mass indexDapagliflozinHeart failureObesitySGLT2 inhibitor

Identifiers

PMID34272791
PMCPMC9292627
OpenAlexW3179920812

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.