Evidence mapPaperPMID 41860728Full record

SynthesisAmerican journal of cardiovascular drugs : drugs, devices, and other interventions2026

Efficacy and Safety of Sodium-Glucose Cotransporter 2 Inhibitors in Heart Transplant Recipients: A Systematic Review and Meta-analyses.

Nelson Luis Cahuapaza-Gutierrez, Cielo Cinthya Calderon-Hernandez, Mariam Miyanay Umeres-Bravo, Tatiana Vanessa Villavicencio-Escudero

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in American journal of cardiovascular drugs : drugs, devices, and other interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Nelson Luis Cahuapaza-GutierrezUniversidad Científica del Sur, Lima, Peru. 100065659@cientifica.edu.pe.ORCID http://orcid.org/0000-0002-1228-1941
Cielo Cinthya Calderon-HernandezUniversidad Científica del Sur, Lima, Peru.ORCID http://orcid.org/0009-0004-5242-3141
Mariam Miyanay Umeres-BravoCardiology Research Department, N y C-Center of Research and Medical Excellence (CRME), Lima, Peru.ORCID http://orcid.org/0000-0002-5700-9052
Tatiana Vanessa Villavicencio-EscuderoUniversidad Científica del Sur, Lima, Peru.ORCID http://orcid.org/0009-0008-0497-7042

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSodium-glucose cotransporter 2 inhibitors (SGLT2i) have demonstrated efficacy and safety in patients with type 2 diabetes mellitus, chronic kidney disease, and heart failure. However, their effects in heart transplant recipients, a population with high cardiovascular risk, remain poorly understood.

methodsClinical trials and observational studies were included. A systematic search was conducted in PubMed, Scopus, EMBASE, and Web of Science. Mean differences (MD) were calculated for continuous outcomes and risk ratios (RR) for binary outcomes, both with 95% confidence intervals (CI). Analyses were performed using RevMan version 5.4.1.

resultsFive retrospective cohort studies including 1512 heart transplant recipients (312 SGLT2i users and 1200 controls) were analyzed. SGLT2i use was not associated with significant changes in renal function (MD in eGFR: 3.96 mL/min/1.73 m

conclusionsIn heart transplant recipients, the use of SGLT2 inhibitors was not associated with significant improvements in renal function or glycemic control and did not increase mortality or the incidence of urinary tract infections. However, SGLT2 inhibitor therapy was associated with significant reductions in body mass index and systolic blood pressure, suggesting a potential cardiometabolic benefit in this high-risk population. Given that hypertension and obesity are well-established cardiovascular risk factors and that hypertension, in particular, is a common complication among heart transplant recipients, these blood pressure and weight-lowering effects may be clinically meaningful. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD420251057335.

Indexed as

Diabetes Mellitus, Type 2Heart TransplantationSodium-Glucose Transporter 2 InhibitorsHumansTransplant RecipientsSodium-Glucose Transporter 2 Inhibitors

Identifiers

PMID41860728

What Socratic holds

Textmetadata
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.