Evidence mapPaperPMID 36012897Full record

ReviewJournal of clinical medicine2022

Anti-Diabetic Therapy, Heart Failure and Oxidative Stress: An Update.

Ioanna Koniari, Dimitrios Velissaris, Nicholas G Kounis, Eleni Koufou, Eleni Artopoulou, Cesare de Gregorio, Virginia Mplani, Themistoklis Paraskevas, Grigorios Tsigkas, Ming-Yow Hung and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 13% 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.

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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Review
  3. Observational
  4. Review
  5. Article
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  8. Article
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

13 authors at 6 institutions in 4 countries.

Ioanna KoniariDepartment of Cardiology, University Hospital of South Manchester NHS Foundation Trust, Manchester M23 9LT, UK.ORCID 0000-0002-1033-5299
Dimitrios VelissarisDepartment of Internal Medicine, University Hospital of Patras, 26500 Patras, Greece.
Nicholas G KounisDepartment of Cardiology, University Hospital of Patras, 26500 Patras, Greece.ORCID 0000-0002-9751-6710
Eleni KoufouDepartment of Cardiology, University Hospital of Patras, 26500 Patras, Greece.ORCID 0000-0001-8979-8554
Eleni ArtopoulouDepartment of Internal Medicine, University Hospital of Patras, 26500 Patras, Greece.
Cesare de GregorioDepartment of Clinical and Experimental Medicine, University of Messina Medical School, 98122 Messina, Italy.ORCID 0000-0003-3022-266X
Virginia MplaniIntensive Care Unit, Patras University Hospital, 26500 Patras, Greece.
Themistoklis ParaskevasDepartment of Internal Medicine, University Hospital of Patras, 26500 Patras, Greece.
Grigorios TsigkasDepartment of Cardiology, University Hospital of Patras, 26500 Patras, Greece.ORCID 0000-0002-2779-0765
Ming-Yow HungDivision of Cardiology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan.
Panagiotis PlotasLaboratory Primary Health Care, School of Health Rehabilitation Sciences, University of Patras, 26504 Patras, Greece.ORCID 0000-0001-5514-7083
Vaia LambadiariSecond Department of Internal Medicine, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Ignatios IkonomidisSecond Cardiology Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0001-8241-7886
General University Hospital of Patras · GRNational and Kapodistrian University of Athens · GRManchester University NHS Foundation Trust · GBTaipei Medical University-Shuang Ho Hospital · TWUniversity of Messina · ITUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetes mellitus (DM) and heart failure (HF) are two chronic disorders that affect millions worldwide. Hyperglycemia can induce excessive generation of highly reactive free radicals that promote oxidative stress and further exacerbate diabetes progression and its complications. Vascular dysfunction and damage to cellular proteins, membrane lipids and nucleic acids can stem from overproduction and/or insufficient removal of free radicals. The aim of this article is to review the literature regarding the use of antidiabetic drugs and their role in glycemic control in patients with heart failure and oxidative stress. Metformin exerts a minor benefit to these patients. Thiazolidinediones are not recommended in diabetic patients, as they increase the risk of HF. There is a lack of robust evidence on the use of meglinitides and acarbose. Insulin and dipeptidyl peptidase-4 (DPP-4) inhibitors may have a neutral cardiovascular effect on diabetic patients. The majority of current research focuses on sodium glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide 1 (GLP-1) receptor agonists. SGLT2 inhibitors induce positive cardiovascular effects in diabetic patients, leading to a reduction in cardiovascular mortality and HF hospitalization. GLP-1 receptor agonists may also be used in HF patients, but in the case of chronic kidney disease, SLGT2 inhibitors should be preferred.

Indexed as

diabetesdipeptidyl peptidase 4 inhibitorsglucagon-likepeptide-1 receptor agonistsheart failure with preserved ejection fraction (HFpEF)heart failure with reduced ejection fraction (HFrEF)metforminoxidative stressSGLT2 inhibitorssulfonylureasthiazolidinediones

Identifiers

PMID36012897
PMCPMC9409680
OpenAlexW4291001781

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.