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Cost-utility analysis of empagliflozin in heart failure patients with reduced and preserved ejection fraction in China

Cost-utility analysis of empagliflozin in heart failure patients with reduced and preserved ejection fraction in China

Source : https://www.frontiersin.org/articles/10.3389/fphar.2022.1030642/full

Objective: EMPEROR-Reduced and EMPEROR-Preserved studies showed the benefits of empagliflozin along with a reduction in cardiovascular death or hospitalisation for heart failure (HF).



Conclusion: Considering that the WTP threshold was $12,652.5/QALY, adding empagliflozin to standard therapy was proven to be a slightly more cost-effective option for the treatment of HFrEF and HFpEF from a Chinese healthcare system perspective, which promoted the rational use of empagliflozin for HF.

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Mechanism of action and therapeutic use of bempedoic acid in atherosclerosis and metabolic syndrome

Mechanism of action and therapeutic use of bempedoic acid in atherosclerosis and metabolic syndrome

Source : https://www.frontiersin.org/articles/10.3389/fcvm.2022.1028355/full

Bempedoic acid is a new cholesterol-lowering drug, which has recently received US FDA and EMA approval. This drug targets lipid and glucose metabolism as well as inflammation via downregulation of...



Relevance: The aim of this narrative review on bempedoic acid is to explore the underlying mechanisms of action and potential clinical targets, present existing evidence from clinical trials, and describe practical management of patients.

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Conclusions: Among people with neither diabetes nor significant heart failure but with risk factors for adverse cardiac remodeling, SGLT2 inhibition with empagliflozin did not result in a meaningful reduction in LVMi after 6 months.

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Relevance: This systematic review's objective is to investigate and explore the full range of empagliflozin's effects and advantages on cardiac structure, function, and hemodynamics and renal function in patients with heart failure with reduced ejection fraction (EF) in order to better understand the drug's effects and related mechanisms.

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Meaning: Optimal implementation of SGLT-2 inhibitors to approximately 4.8 million patients with HF in the US is estimated to potentially cause a reduction of about 250 000 worsening HF events in patients with LVEF more than 40% over 3 years, contributing to possible prevention/postponement of total approximately 630 000 events...

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