Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Aug 26, 2024; 16(8): 448-457
Published online Aug 26, 2024. doi: 10.4330/wjc.v16.i8.448
Sodium-dependent glucose transporter 2 inhibitors effects on myocardial function in patients with type 2 diabetes and asymptomatic heart failure
Petra Grubić Rotkvić, Luka Rotkvić, Ana Đuzel Čokljat, Maja Cigrovski Berković
Petra Grubić Rotkvić, Department of Cardiology, University Hospital Centre Zagreb, Zagreb 10000, Croatia
Luka Rotkvić, Department of Cardiology, Magdalena Clinic for Cardiovascular Disease, Krapinske Toplice 49217, Croatia
Ana Đuzel Čokljat, Department of Internal Medicine, General Hospital Dubrovnik, Dubrovnik 20000, Croatia
Maja Cigrovski Berković, Department for Sport and Exercise Medicine, University of Zagreb Faculty of Kinesiology, Zagreb 10000, Croatia
Co-corresponding authors: Petra Grubić Rotkvić and Maja Cigrovski Berković.
Author contributions: Grubić Rotkvić P designed the study, performed the research, and wrote the original draft; Rotkvić L and Đuzel Čokljat A, analyzed the data, and reviewed and edited the manuscript; Cigrovski Berković M designed the study, performed the research, and supervised the study; All authors have read and approved the final manuscript.
Institutional review board statement: The Ethics committees of the participating institutions (University Hospital Centre Sestre Milosrdnice and University Hospital “Sveti Duh”) approved the protocol.
Informed consent statement: All patients gave written informed consent.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—a checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-a checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Petra Grubić Rotkvić, MD, PhD, Postdoctoral Fellow, Department of Cardiology, University Hospital Centre Zagreb, Kišpatićeva 12, Zagreb 10000, Croatia. petra.grubic84@gmail.com
Received: April 18, 2024
Revised: July 17, 2024
Accepted: July 23, 2024
Published online: August 26, 2024
Processing time: 129 Days and 19.4 Hours
Core Tip

Core Tip: This study evaluated the outcomes regarding natriuretic peptide, oxidative stress, inflammation, blood pressure, heart rate, cardiac function, and body weight derived from our published prospective observational study, which assessed sodium-dependent glucose transporter 2 inhibitors (SGLT2i) mechanisms of action in patients with type 2 diabetes and heart failure (HF) stages A and B on dual oral antidiabetic therapy. Mechanisms underlying favorable SGLT2i effects on HF are related to changes in body composition, reduced cardiac load, better cardiac function, and attenuation of sympathetic response, depending on the HF stage and patients’ specific characteristics. Nevertheless, glycemic control itself could contribute to heart function improvement.