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Can I read Safety outcomes of SGLT2i in the heart failure trials: A systematic review and Meta-analysis on EtoBox?

Safety outcomes of SGLT2i in the heart failure trials: A systematic review and Meta-analysis by Ahmed M. Younes; Mahmoud Salem; Ahmed Maraey; Soroush Nomigolzar; Kerry Sewell; Mahmoud Khalil; Ahmed Elzanaty; Ayman Saeyeldin; Moahad Dar is a Medicine article available to read on EtoBox.

What is Safety outcomes of SGLT2i in the heart failure trials: A systematic review and Meta-analysis about?

## Aims: Sodium-glucose co-transporter inhibitors (sglt2i) are emerging as a new treatment for heart failure (hf) after demonstrating favorable clinical outcomes in several randomized controlled trials (rcts). in this meta-analysis, we assessed the safety of sglt2i in the trials that prespecified heart failure in their inclusion criteria. ## Materials and methods: We searched the databases for rcts comparing sglt2i to placebo in heart failure patients. the primary outcome was the incidence of serious adverse events (saes). a sensitivity analysis according to the class of hf was also performed. ## Results: The incidence of saes was significantly lower in the sglt2i group (or, 0.85; 95% ci, 0.77-0.92; p, 0.0002) and saes remained significantly lower after performing the sensitivity analysis (or, 0.82; 95% ci, 0.75-0.89; p, <0.00001). genital infections, urinary tract infections (utis), and hypotension were significantly higher in the sglt2i group. ## Conclusions: Sglt2i remain a safe option for patients with hf with a lower incidence of saes. however, since they increase the risk of genital infection, utis and hypotension, the risks vs benefits in each patient should be weighed when

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Author
Ahmed M. Younes; Mahmoud Salem; Ahmed Maraey; Soroush Nomigolzar; Kerry Sewell; Mahmoud Khalil; Ahmed Elzanaty; Ayman Saeyeldin; Moahad Dar
Publisher
Elsevier BV
Published
2022
Language
EN
Field
Medicine (Health Sciences)

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