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What’s New in 2023!!
SGLT2 Inhibitors- Where to Rx in HFrEF or
HFpEF ?
Prevalence of Heart Failure : ESC 2021
89.2% of Heart failure is with HFpEF & HFmrEF
HFpEF is the most common form of HF worldwide
Background
J Am Coll Cardiol. 2019 Oct, 74 (15) 1966–2011
Clinical Course of Heart Failure
12
HFrEF and HFpEF are distinct disease entities
HF with reduced EF vs. HF Preserved EF
Mode of Death in HFrEF vs HFpEF
ESC Guideline Recommendation in Diagnosing HFpEF ?
B
A
Different phenotypes of HFpEF
HFpEF…
Risk factor for developing disease …and trigger for decompensations
However, HFpEF
is a very
heterogenous
disease with
several
etiologies
Patient profiling in HFrEF for tailoring medical therapy:
Strategy in patients with elevated heart rate
Patient Phenotype Profiling in HF with Preserved Ejection Fraction to Guide Therapeutic
Decision Making A Scientific Statement of the HFA, ERHA, and ESH. (EJC-HF May 19,2023)
Modern HF Care based for Each of the 4 LVEF –Based Groups
Pharmacological treatment for heart failure
SGLT2i in Heart Failure - Talk of the town
across all academic forums
• Single dose, no titration
• Can be started in hospital or in the community
• Benefit within <28 days
• Outstanding tolerability
• Negligible effect on blood pressure
• Preserves rather than worsens renal function
• Reduces risk of hyperkalemia with MRAs (another concept: agents started earlier can enhance
the safety of agents started later)
• Expanding indications, expanding benefits!!
SGLT2i (Dapagliflozin) – in 2023!
SGLT2i i (2).pptx

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SGLT2i i (2).pptx

Editor's Notes

  1. Graphic depiction of course of heart failure admission, showing the degree of focus on clinical decompensation (red), discharge coordination (blue), ongoing coordination of outpatient care (light blue), and optimization of guideline-directed medical therapy (green), with ongoing assessment of the clinical course (circle with arrows), and key time points for review and revision of the long-term disease trajectory for the HF journey (compass signs).