Publication details

Baseline characteristics of patients with heart failure with preserved ejection fraction in the EMPEROR-Preserved trial

Authors	ANKER S. D. BUTLER J. FILIPPATOS G. KHAN M. S. FERREIRA J. P. BOCCHI E. BOHM M. BRUNNER-LA Rocca H. P. CHOI D. J. CHOPRA V. CHUQUIURE E. GIANNETTI N. GOMEZ-MESA J. E. JANSSENS S. JANUZZI J. L. GONZALEZ-JUANATEY J. R. MERKELY B. NICHOLLS S. J. PERRONE S. V. PINA I. L. PONIKOWSKI P. SENNI M. SERONDE M. F. SIM D. ŠPINAR Jindřich SQUIRE I. TADDEI S. TSUTSUI H. VERMA S. VINEREANU D. ZHANG J. JAMAL W. SCHNAIDT S. SCHNEE J. M. BRUECKMANN M. POCOCK S. J. ZANNAD F. PACKER M.
Year of publication	2020
Type	Article in Periodical
Magazine / Source	European Journal of heart Failure
MU Faculty or unit	Faculty of Medicine
Citation
Web	https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ejhf.2064
Doi	http://dx.doi.org/10.1002/ejhf.2064
Keywords	Heart failure with preserved ejection fraction; Sodium glucose co transporter 2 inhibitors; Empagliflozin
Description	Aims EMPEROR-Preserved is an ongoing trial evaluating the effect of empagliflozin in patients with heart failure with preserved ejection fraction (HFpEF). This report describes the baseline characteristics of the EMPEROR-Preserved cohort and compares them with patients enrolled in prior HFpEF trials. Methods and results EMPEROR-Preserved is a phase III randomized, international, double-blind, parallel-group, placebo-controlled trial in which 5988 symptomatic HFpEF patients [left ventricular ejection fraction (LVEF) >40%] with and without type 2 diabetes mellitus (T2DM) have been enrolled. Patients were required to have elevated N-terminal pro B-type natriuretic peptide (NT-proBNP) concentrations (i.e. >300 pg/mL in patients without and >900 pg/mL in patients with atrial fibrillation) along with evidence of structural changes in the heart or documented history of heart failure hospitalization. Among patients enrolled from various regions (45% Europe, 11% Asia, 25% Latin America, 12% North America), the mean age was 72 +/- 9 years, 45% were women. Almost all patients had New York Heart Association class II or III symptoms (99.6%), and 23% had prior heart failure hospitalization within 12 months. Thirty-three percent of the patients had baseline LVEF of 41-50%. The mean LVEF (54 +/- 9%) was slightly lower while the median NT-proBNP [974 (499-1731) pg/mL] was higher compared with previous HFpEF trials. Presence of comorbidities such as diabetes (49%) and chronic kidney disease (50%) were common. The majority of the patients were on angiotensin-converting enzyme inhibitors/angiotensin receptor blockers/angiotensin receptor-neprilysin inhibitors (80%) and beta-blockers (86%), and 37% of patients were on mineralocorticoid receptor antagonists. Conclusion When compared with prior trials in HFpEF, the EMPEROR-Preserved cohort has a somewhat higher burden of comorbidities, lower LVEF, higher median NT-proBNP and greater use of mineralocorticoid receptor antagonists at baseline. Results of the EMPEROR-Preserved trial will be available in 2021.