SGLT2 inhibitors × cardiovascular events

SynthesisESC heart failure2023

Systematic review of sodium-glucose cotransporter 2 inhibitors: a hopeful prospect in tackling heart failure-related events.

Buena Aziri et al.PubMed ↗Full text ↗Publisher ↗

  • SGLT2 inhibitorslooks good hereFewer HF hospitalization, no clear effect on atrial fibrillation, no clear effect on cardiovascular deaths.Randomised, small.

What the trial testedrandomised · 878 people · 2023

Randomised vs control (implied)

Probably reduced HF hospitalization

−31%−40% to −22%

SGLT2 inhibitors vs control (implied)

Bigger than 6 in 10 for adverse events & safety

As reported

OR 0.69, 95% CI 0.60–0.78

Range includes no effect

No clear effect on atrial fibrillation

−17%−32% to +1%

SGLT2 inhibitors vs control (implied)

Bigger than 4 in 10 for cardiovascular events

As reported

OR 0.83, 95% CI 0.68–1.01

Range includes no effect

No clear effect on cardiovascular deaths

−18%−42% to +15%

SGLT2 inhibitors vs control (implied)

Bigger than 4 in 10 for cardiovascular events

As reported

OR 0.82, 95% CI 0.58–1.15 · the paper's word: cardiovascular death

Range includes no effect

No clear effect on major heart events

−10%−23% to +6%

SGLT2 inhibitors vs control (implied)

Bigger than 1 in 10 for cardiovascular events

As reported

OR 0.90, 95% CI 0.77–1.06 · the paper's word: major adverse cardiovascular events

Who was studied, and how

878people with arrhythmia, in this paper

The trial randomly assignedassigned by chance

SGLT2 inhibitors
control (implied)

Probably reduced HF hospitalization−31%

No clear effect on atrial fibrillation−17%

No clear effect on cardiovascular deaths−18%

randomised

the abstract, start to end

on atrial fibrillation odds ratio (OR) = 0.83, 95% confidence interval (CI): 0.68-1.01, prediction interval (PI): 0.57-1.19; on HF hospitalization OR = 0.69, 95% CI: 0.60-0.78, PI: 0.60-0.78; on cardiovascular death OR = 0.82, 95% CI: 0.58-1.15, PI: 0.42-1.60; and on major adverse cardiovascular events OR = 0.90, 95% CI: 0.77-1.06, PI:

← favours treatmentfavours comparator →
could be chance
Atrial fibrillationSGLT2 inhibitors vs control (implied)
OR 0.830.68–1.01
HF hospitalizationSGLT2 inhibitors vs control (implied)
OR 0.690.60–0.78
Cardiovascular deathSGLT2 inhibitors vs control (implied)
OR 0.820.58–1.15
Major adverse cardiovascular eventsSGLT2 inhibitors vs control (implied)
OR 0.900.77–1.06
SGLT2 inhibitorsCardiovascular eventsAdverse events & safety

SGLT2 inhibitors × cardiovascular eventshelps?mixed

unlikelylikely
0.50not counted

SGLT2 inhibitors × adverse events & safetyharms?mixed

unlikelylikely
0.00not counted
← favours comparatorfavours treatment →
more certainless certain
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13 papers cite it

2023
2024
2025
2026
this paperpooled itcites it
Full record →Abstract, authors, funding and every citing paper · PMID 36967133