The landscape of novel antidiabetic drugs in diabetic HFpEF: relevant mechanisms and clinical implications

Apr 28, 2025Cardiovascular diabetology

New diabetes drugs in heart failure with preserved pumping: key actions and medical importance

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Abstract

Heart failure with preserved ejection fraction () is the leading form of heart failure worldwide.

  • Diabetes mellitus (DM) is associated with an increased risk of developing HFpEF.
  • The combination of HFpEF and DM may further deteriorate cardiovascular health and accelerate diabetes progression.
  • Novel antidiabetic drugs, including sodium glucose cotransporter 2 inhibitors (SGLT2i), glucagon-like peptide-1 receptor agonists (GLP-1 RA), and dipeptidyl peptidase 4 inhibitors (DPP4i), have shown cardiovascular benefits in Type 2 diabetes patients with HFpEF.
  • The specific roles and mechanisms of these antidiabetic drugs in treating diabetic HFpEF are not fully understood.
  • A comprehensive understanding of diabetic HFpEF could provide new insights into its treatment.

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Key numbers

45%
Prevalence of diabetes in
Approximately 45% of patients have diabetes mellitus.
29%
Hospitalization reduction with
treatment is associated with a 29% reduction in hospitalization rates.

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