医学
恩帕吉菲
生物电阻抗分析
安慰剂
心肌梗塞
内科学
心脏病学
心力衰竭
体质指数
随机对照试验
糖尿病
细胞外液
2型糖尿病
内分泌学
细胞外
病理
替代医学
细胞生物学
生物
作者
Haitao Yu,Yoshiaki Kubota,Kosuke Mozawa,Shuhei Tara,Yukichi Tokita,Kenji Yodogawa,Yu‐ki Iwasaki,Takeshi Yamamoto,Hitoshi Takano,Yayoi Tsukada,Kuniya Asai,Masaaki Miyamoto,Yoshimasa Miyauchi,Eitaro Kodani,Mitsunori Maruyama,Jun Tanabe,Wataru Shimizu
标识
DOI:10.1016/j.cardfail.2021.07.022
摘要
The development of heart failure is associated with fluid balance, including that of extracellular water (ECW) and intracellular water (ICW). This study determined whether sodium-glucose cotransporter 2 inhibitors affect fluid balance and improve heart failure in patients after acute myocardial infarction.EMBODY was a prospective, randomized, double-blinded, placebo-controlled trial of Japanese patients with acute myocardial infarction and type 2 diabetes. Overall, 55 patients who underwent bioelectrical impedance analysis were randomized to receive once daily 10 mg empagliflozin or placebo 2 weeks after acute myocardial infarction onset. We investigated the time course of body fluid balance measured using the bioelectrical impedance analysis device, InBody. The primary end points were changes in body fluid balance from weeks 0 to 24. Changes between baseline and week 24 in the empagliflozin and placebo groups were -0.21 L (P = .127) and +0.40 L (P = .001) in ECW (P = .001) and -0.23 L (P = .264) and +0.74 L (P < .001) in ICW (P < .001), respectively. In a stratified analysis, the rise in ECW and ICW was significantly attenuated in the empagliflozin group in contrast to the placebo group in participants with a body mass index of 25 or higher but not in those with a body mass index of less than 25.Early sodium-glucose cotransporter 2 inhibitor administration may attenuate changes in ECW and ICW.
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