Dapagliflozin Linked to Glomerular Filtration Rate Decline in Heart Failure

JAMA Network

About The Study: Among patients with heart failure with mildly reduced ejection fraction or heart failure with preserved ejection fraction treated with dapagliflozin in this randomized clinical trial, an initial estimated glomerular filtration rate (eGFR) decline was frequent but not associated with subsequent risk of cardiovascular or kidney events. These data reinforce clinical guidance that sodium-glucose cotransporter-2 inhibitors should not be interrupted or discontinued in response to an initial eGFR decline.

Authors: Finnian R. Mc Causland, M.B.B.Ch., M.M.Sc., of Brigham and Women's Hospital in Boston, is the corresponding author.

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(doi:10.1001/jamacardio.2023.4664)

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