Effects of Acute and Chronic Empagliflozin Heart Failure

Korábbi kezelés

• Current use or plan to initiate renal replacement therapy
• Critical stenotic valvular disease, complex congenital heart disease or prior heart transplant

Más betegség

• Need for heart failure hospitalization at the time of randomization
• History of type 1 diabetes, diabetic ketoacidosis, "brittle" diabetes or frequent hypoglycemia or severe hypoglycemic episodes requiring emergent intervention (ER visit or EMS response, glucagon administration or forced oral carbs) in the last 6 months
• History of or current urosepsis or frequent urinary tract infections
• Appears unlikely or unable to participate in the required study procedures, as assessed by the study PI, study coordinator, or designee (ex: clinically-significant psychiatric, addictive, or neurological disease)

Laborértékek

• Anemia with hemoglobin <8g/dL (due to required phlebotomy for the study) or active bleeding

Egyéb

• Significant bladder dysfunction or urinary incontinence
• Inability to comply with the serial urine collection procedures
• Chronic use of natriuretic doses of thiazide diuretics (≥50mg hydrochlorothiazide or equivalent)
• Pregnancy or breastfeeding

• A clinical diagnosis of worsening heart failure (worsening of congestive symptoms with current therapies) in the opinion of the investigator.
• A planned outpatient diuretic intervention (either up-titration of loop or addition of thiazide diuretic) for worsening heart failure per treating clinician. Diuretic intervention can occur via an unplanned in person visit (e.g., outpatient ambulatory clinic, emergency department, same day access visit) or via a telephone encounter (e.g., patient calling the clinic with reported weight gain and SOB that is prescribed uptitration of diuretic therapy).
• Estimated or reported weight gain of at least 5 lbs.
• Chronic daily oral loop diuretic dose ≥ 20mg furosemide equivalents for at least one month prior to enrollment
• Estimated GFR (eGFR) ≥ 20 mL/min/1.73 m2
• Age ≥ 18 years old
• Signed informed consent
• English speaking participants only