Evidence mapPaperPMID 40376149Full record

SynthesisFrontiers in cardiovascular medicine2025

Efficacy and safety of SGLT2 inhibitors in acute heart failure: a systematic review and meta-analysis of randomized controlled trials.

Ali Ibrahim Rahil, Tirth Bhavsar, Romman Fatima, Aparajitha Rajkumar, Joy Kumar, Hanif Al Majidan, Namrata Gajjala, Wodwentzky Lefranc, Fnu Deeksha, Harshitha Lingegowda and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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.

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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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

14 authors.

Ali Ibrahim RahilDepartment of Medicine, Hamad Medical Corporation, Doha, Qatar.
Tirth BhavsarDepartment of Medicine, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India.
Romman FatimaDepartment of Medicine, Shadan Institute of Medical Sciences, Hyderabad, India.
Aparajitha RajkumarDepartment of Medicine, Government Kilpauk Medical College, Chennai, India.
Joy KumarDepartment of Medicine, Kasturba Medical College, Manipal, India.
Hanif Al MajidanDepartment of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Namrata GajjalaDepartment of Medicine, Government Kilpauk Medical College, Chennai, India.
Wodwentzky LefrancDepartment of Medicine, University Notre-Dame of Haiti, P-au-P, Haiti/Medicine, Lakeside Medical Center, Belle-Glade, FL, United States.
Fnu DeekshaDepartment of Medicine, Government Medical College, Patiala, India.
Harshitha LingegowdaDepartment of Environmental Health, Johns Hopkins University, Baltimore, MD, United States.
Muhammad EhsanDepartment of Medicine, King Edward Medical University, Lahore, Pakistan.
Wajeeh Ur RehmanDepartment of Medicine, United Health Services, Johnson City, NY, United States.
Hasan AhmadNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Raheel AhmedNational Heart and Lung Institute, Imperial College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute heart failure (AHF) is a serious medical condition with considerable morbidity and mortality ranging from 20%-30% within the first month following hospital admission. We aimed to evaluate the efficacy and safety of sodium-glucose cotransporter-2 (SGLT2) inhibitors administered within the first five days of hospitalization for AHF. Methods: We utilized various electronic resources such as MEDLINE, Embase, and the Cochrane Library to retrieve relevant randomized controlled trials (RCTs). The meta-analysis was performed using Revman, where the risk ratio (RR) and mean difference (MD) with a 95% confidence interval (CI) were used for dichotomous and continuous variablesrespectively. Results: A total of seven trials were included in this review. SGLT2 inhibitors were associated with decreased all-cause mortality (RR = 0.61, 95% CI = 0.40, 0.95; Conclusion: SGLT2 inhibitors demonstrate overall clinical benefits and a favorable safety profile in acute heart failure, although their impact on readmission rates is limited. Further research is needed to refine patient selection and optimize treatment strategies. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024571563, PROSPERO (CRD42024571563).

Indexed as

acute heart failurede-novo heart failuremeta-analysisSGLT2 inhibitorssystematic review

Identifiers

PMID40376149
PMCPMC12078209

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.