Type 2 & other diabetes

Left ventricular mass predicts cardiac reverse remodelling in patients treated with empagliflozin

Cardiovasc DiabetolPublished Secondary analysis of the EMPA-HEART CardioLink-6 randomised trial

Authors' conclusion

Patients with higher LVMi at baseline experienced greater LVM regression with empagliflozin.

Study context

Population
Patients with T2D and coronary artery diseaseLVMi ≤ 60: n = 54
Participants
97 patients
Comparison
Empagliflozin vs placebo, by baseline LVMi subgroup
Primary endpoint
Change in LV mass indexed to body surface area (LVMi), by baseline LVMi subgroup
Follow-up
6 months
Methodological detailssub-analysis by baseline LVMi, placebo-controlled, ANCOVA with interaction term
  • Sub-analysis by baseline LVMi
  • Placebo-controlled
  • ANCOVA with interaction term

Primary result

As reported in the abstract

LVMi regression, empagliflozin vs placebo, by baseline LVMi subgroup
Empagliflozin vs PlaceboAdjusted difference, g/m2 (95% CI)P value
Baseline LVMi ≤ 60 g/m² subgroup
- 0.46(−3.44 to 2.52)
P = 0.76
Baseline LVMi > 60 g/m² subgroup
- 7.26(−11.40 to −3.12)
P = 0.0011
Interaction between LVMi subgroup and treatment
P for interaction = 0.007

Further findings

Baseline LVMi by subgroup

Baseline LVMi and 6-month change in LV volumes and LVEF

No significant association: LV end systolic volume-indexed
P for interaction = 0.086
No significant association: LV end diastolic volume-indexed
P for interaction = 0.34
No significant association: LV ejection fraction
P for interaction = 0.15

Original publication

Left ventricular mass predicts cardiac reverse remodelling in patients treated with empagliflozin. Cardiovasc Diabetol. Published 28 June 2023. doi:10.1186/s12933-023-01849-w

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