Evidence mapPaperPMID 39297940Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2025

Impact of empagliflozin on cardiac structure and function assessed by echocardiography after myocardial infarction: a post-hoc sub-analysis of the emmy trial.

Nora Schwegel, Christoph Strohhofer, Ewald Kolesnik, Sabrina Oltean, Alexander Hüttmair, Christian Pipp, Martin Benedikt, Nicolas Verheyen, Johannes Gollmer, Klemens Ablasser and 12 more

Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT03087773. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
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.

NCT03087773 phase3completed

Impact of EMpagliflozin on Cardiac Function and Biomarkers of Heart Failure in Patients With Acute MYocardial Infarction

Ran2017Enrolled476Registered outcomes6Posted comparisons0ConditionsAcute Myocardial InfarctionArmsempagliflozin 10 mg, Placebo Oral Tablet
Open the trial in the graph
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. 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

22 authors.

Nora SchwegelDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Christoph StrohhoferDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Ewald KolesnikDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria. ewald.kolesnik@medunigraz.at.ORCID http://orcid.org/0000-0002-9349-8068
Sabrina OlteanDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Alexander HüttmairDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Christian PippDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Martin BenediktDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Nicolas VerheyenDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Johannes GollmerDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Klemens AblasserDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Markus WallnerDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Viktoria SantnerDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Norbert TripoltTrials Unit for Interdisciplinary Metabolic Medicine, Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Peter PferschyTrials Unit for Interdisciplinary Metabolic Medicine, Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Peter ZechnerDepartment of Cardiology and Intensive Care Medicine, Hospital Graz II, West Location, Graz, Austria.
Hannes AlberDepartment of Cardiology, Public Hospital Klagenfurt Am Woerthersee, Klagenfurt Am Woerthersee, Austria.
Jolanta M Siller-MatulaDepartment of Cardiology, Medical University of Vienna, Vienna, Austria.
Kristen KoppDivision of Cardiology and Internal Intensive Care Medicine, Department of Internal Medicine II, Paracelsus Medical Private University of Salzburg, Salzburg, Austria.
Andreas ZirlikDivision of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.
Faisal AzizTrials Unit for Interdisciplinary Metabolic Medicine, Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Harald Sourij *Trials Unit for Interdisciplinary Metabolic Medicine, Division of Endocrinology and Diabetology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Dirk von Lewinski *Division of Cardiology, University Heart Center Graz, Medical University of Graz, Graz, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmpagliflozin administered after acute myocardial infarction proofed to improve cardiometabolic parameters and biomarkers, but the impact on cardiac function is still largely unknown. The aim of this post-hoc echocardiographic sub-analysis of the EMMY trial was to provide in-depth echocardiographic analysis on the effects of empagliflozin versus placebo on standard and novel echocardiographic structural and functional parameters after acute myocardial infarction.

methodsIn this post-hoc analysis of the EMMY trial a subset of 313 patients (157 empagliflozin vs. 156 placebo) was enrolled for post-processing analysis of echocardiographic structural and functional parameters. On top of two-dimensional and Doppler parameters, myocardial deformation analyses were performed to assess ventricular and atrial strain values.

resultsLeft ventricular volumes showed significant differences in favor of empagliflozin over the course of the trial (change in left ventricular end-diastolic volume median [interquartile range] 8 [-3;19]% versus 13 [0;29]%, p = 0.048; left ventricular end-systolic volume -3 [-15;12]% versus 4 [-12;18]%, p = 0.044). This effect persisted after adjusting for baseline values, age, and sex. Left ventricular systolic and diastolic function overall improved over the course of the trial and parameters for diastolic function showed a distinct trend between groups but did not meet statistical significance in this cohort.

conclusionIn this post-hoc analysis among patients with acute myocardial infarction, treatment with empagliflozin resulted in a significant beneficial effect on left ventricular end-diastolic and end-systolic volume, without significantly improving left ventricular or right ventricular functional parameters compared to placebo after 26 weeks. CLINICALTRIALS: GOV REGISTRATION: NCT03087773.

Indexed as

Benzhydryl CompoundsGlucosidesHeart VentriclesMyocardial InfarctionSodium-Glucose Transporter 2 InhibitorsStroke VolumeVentricular Function, LeftAgedDouble-Blind MethodEchocardiography, DopplerFemaleHumansMaleMiddle AgedTreatment OutcomeBenzhydryl CompoundsempagliflozinGlucosidesSodium-Glucose Transporter 2 InhibitorsEchocardiographyEmpagliflozinHeart failureMyocardial functionMyocardial infarctionSGLT2 inhibitors

Identifiers

PMID39297940
PMCPMC12058928

What Socratic holds

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LicenceCC BY
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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.