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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">russjcardiol</journal-id><journal-title-group><journal-title xml:lang="ru">Российский кардиологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Cardiology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1560-4071</issn><issn pub-type="epub">2618-7620</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15829/1560-4071-2020-4049</article-id><article-id custom-type="elpub" pub-id-type="custom">russjcardiol-4049</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИКА И ФАРМАКОТЕРАПИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINIC AND PHARMACOTHERAPY</subject></subj-group></article-categories><title-group><article-title>Эффекты применения ингибитора натрий-глюкозного котранспортера 2 типа дапаглифлозина у пациентов с сердечной недостаточностью с низкой фракцией выброса левого желудочка</article-title><trans-title-group xml:lang="en"><trans-title>Effects of SGLT2 inhibitor dapagliflozin in patients with heart failure with reduced ejection fraction</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7760-0763</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хасанов</surname><given-names>Н. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Khasanov</surname><given-names>N. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д. м.н., профессор, зав. кафедрой пропедевтики внутренних болезней</p><p>Казань</p></bio><bio xml:lang="en"><p>Kazan</p></bio><email xlink:type="simple">ybzp@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГБОУ ВО Казанский ГМУ Минздрава России<country>Россия</country></aff><aff xml:lang="en">Kazan State Medical University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>06</day><month>08</month><year>2020</year></pub-date><volume>25</volume><issue>8</issue><fpage>4049</fpage><lpage>4049</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Хасанов Н.Р., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Хасанов Н.Р.</copyright-holder><copyright-holder xml:lang="en">Khasanov N.R.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://russjcardiol.elpub.ru/jour/article/view/4049">https://russjcardiol.elpub.ru/jour/article/view/4049</self-uri><abstract><p>Ингибиторы натрий-глюкозного котранспортера 2 типа продемонстрировали способность снижать риск сердечно-сосудистых событий, развития и декомпенсаций сердечной недостаточности (СН) у пациентов с сахарным диабетом 2 типа (СД2). Улучшение прогноза СН может быть обусловлено не только сахароснижающим эффектом этого класса препаратов. В исследовании DAPA-HF у пациентов с СН с низкой фракцией выброса было продемонстрировано преимущество дапаглифлозина в снижении частоты сердечно-сосудистой смерти, ухудшения течения СН, улучшение симптомов СН по сравнению с плацебо, независимо от наличия СД2 и проводимой рекомендованной базовой терапии СН.</p></abstract><trans-abstract xml:lang="en"><p>SGLT2 inhibitors have been shown to reduce the risk of cardiovascular events and the development and decompensation of heart failure (HF) in patients with type 2 diabetes (T2D). The improved prognosis in HF may be related not only to the hypoglycemic effect of this drug class. The DAPA-HF study, which included patients with HF with reduced ejection fraction, demonstrated the benefit of dapagliflozin in reducing the risk of cardiovascular death and worsening HF, as well as improving HF symptoms compared to placebo, regardless of the presence of T2D and the recommended therapy for HF.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>сердечная недостаточность</kwd><kwd>низкая фракция выброса</kwd><kwd>сахарный диабет</kwd><kwd>эффекты ингибиторов натрий-глюкозного котранспортера 2 типа</kwd><kwd>дапаглифлозин</kwd></kwd-group><kwd-group xml:lang="en"><kwd>heart failure</kwd><kwd>reduced ejection fraction</kwd><kwd>diabetes</kwd><kwd>effects of SGLT2 inhibitors</kwd><kwd>dapagliflozin</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Zinman B, Wanner C, Lachin JM, et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N Engl J Med. 2015; 373:2117-28. doi:10.1056/NEJMoa1504720.</mixed-citation><mixed-citation xml:lang="en">Zinman B, Wanner C, Lachin JM, et al. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. N Engl J Med. 2015; 373:2117-28. doi:10.1056/NEJMoa1504720.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Neal B, Perkovic V, Mahaffey KW, et al. Canagliflozin and cardiovascular and renal events in type 2 diabetes. N Engl J Med. 2017;377:644-57. doi:10.1056/NEJMoa1611925.</mixed-citation><mixed-citation xml:lang="en">Neal B, Perkovic V, Mahaffey KW, et al. Canagliflozin and cardiovascular and renal events in type 2 diabetes. N Engl J Med. 2017;377:644-57. doi:10.1056/NEJMoa1611925.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Wiviott SD, Raz I, Bonaca MP, et al. Dapagliflozin and cardiovascular outcomes in type 2 diabetes. N Engl J Med. 2019;380:347-57. doi:10.1056/NEJMoa1812389.</mixed-citation><mixed-citation xml:lang="en">Wiviott SD, Raz I, Bonaca MP, et al. Dapagliflozin and cardiovascular outcomes in type 2 diabetes. N Engl J Med. 2019;380:347-57. doi:10.1056/NEJMoa1812389.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Packer M, Anker SD, Butler J, et al. Effects of sodium-glucose cotransporter 2 inhibitors for the treatment of patients with heart failure: proposal of a novel mechanism of action. JAMA Cardiol. 2017;2:1025-9. doi:10.1001/jamacardio.2017.2275.</mixed-citation><mixed-citation xml:lang="en">Packer M, Anker SD, Butler J, et al. Effects of sodium-glucose cotransporter 2 inhibitors for the treatment of patients with heart failure: proposal of a novel mechanism of action. JAMA Cardiol. 2017;2:1025-9. doi:10.1001/jamacardio.2017.2275.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Verma S, McMurray JJV. SGLT2 inhibitors and mechanisms of cardiovascular benefit: a state-of-the-art review. Diabetologia. 2018;61:2108-17. doi:10.1007/s00125-0184670-7.</mixed-citation><mixed-citation xml:lang="en">Verma S, McMurray JJV. SGLT2 inhibitors and mechanisms of cardiovascular benefit: a state-of-the-art review. Diabetologia. 2018;61:2108-17. doi:10.1007/s00125-0184670-7.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Inzucchi SE, Kosiborod M, Fitchett D, et al. Improvement in cardiovascular outcomes with empagliflozin is independent of glycemic control. Circulation. 2018;138:1904-7. doi:10.1161/CIRCULATIONAHA.118.035759.</mixed-citation><mixed-citation xml:lang="en">Inzucchi SE, Kosiborod M, Fitchett D, et al. Improvement in cardiovascular outcomes with empagliflozin is independent of glycemic control. Circulation. 2018;138:1904-7. doi:10.1161/CIRCULATIONAHA.118.035759.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Lytvyn Y, Bjornstad P, Udell JA, et al. Sodium glucose cotransporter-2 inhibition in heart failure: potential mechanisms, clinical applications, and summary of clinical trials. Circulation. 2017;136:1643-58. doi:10.1161/CIRCULATIONAHA.117.030012.</mixed-citation><mixed-citation xml:lang="en">Lytvyn Y, Bjornstad P, Udell JA, et al. Sodium glucose cotransporter-2 inhibition in heart failure: potential mechanisms, clinical applications, and summary of clinical trials. Circulation. 2017;136:1643-58. doi:10.1161/CIRCULATIONAHA.117.030012.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Bonnet F, Scheen AJ. Effects of SGLT2 inhibitors on systemic and tissue low-grade inflammation: the potential contribution to diabetes complications and cardiovascular disease. Diabetes Metab. 2018;44:457-64. doi:10.1016/j.diabet.2018.09.005.</mixed-citation><mixed-citation xml:lang="en">Bonnet F, Scheen AJ. Effects of SGLT2 inhibitors on systemic and tissue low-grade inflammation: the potential contribution to diabetes complications and cardiovascular disease. Diabetes Metab. 2018;44:457-64. doi:10.1016/j.diabet.2018.09.005.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Heerspink HJL, de Zeeuw D, Wie L, et al. Dapagliflozin a glucose-regulating drug with diuretic properties in subjects with type 2 diabetes. Diabetes, obesity &amp; metabolism. 2013;15(9):853-62. doi:10.1111/dom.12127.</mixed-citation><mixed-citation xml:lang="en">Heerspink HJL, de Zeeuw D, Wie L, et al. Dapagliflozin a glucose-regulating drug with diuretic properties in subjects with type 2 diabetes. Diabetes, obesity &amp; metabolism. 2013;15(9):853-62. doi:10.1111/dom.12127.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">DeFronzo RA, Norton L, Abdul-Ghani M. Renal, metabolic and cardiovascular considerations of SGLT2 inhibition. Nat Rev Nephrol. 2017;13:11-26. doi:10.1038/nrneph.2016.170.</mixed-citation><mixed-citation xml:lang="en">DeFronzo RA, Norton L, Abdul-Ghani M. Renal, metabolic and cardiovascular considerations of SGLT2 inhibition. Nat Rev Nephrol. 2017;13:11-26. doi:10.1038/nrneph.2016.170.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Abdul-Ghani MA, DeFronzo RA, Norton L. Novel hypothesis to explain why SGLT2 inhibitors inhibit only 30–50% of filtered glucose load in humans. Diabetes. 2013;62:3324-8. doi:10.2337/db13-0604.</mixed-citation><mixed-citation xml:lang="en">Abdul-Ghani MA, DeFronzo RA, Norton L. Novel hypothesis to explain why SGLT2 inhibitors inhibit only 30–50% of filtered glucose load in humans. Diabetes. 2013;62:3324-8. doi:10.2337/db13-0604.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Rahman A, Fujisawa Y, Nakano D, et al. Effect of a selective SGLT2 inhibitor, luseogliflozin, on circadian rhythm of sympathetic nervous function and locomotor activities in metabolic syndrome rats. Clin Exp Pharmacol Physiol. 2017;44:522-5. doi:10.1111/1440-1681.12725.</mixed-citation><mixed-citation xml:lang="en">Rahman A, Fujisawa Y, Nakano D, et al. Effect of a selective SGLT2 inhibitor, luseogliflozin, on circadian rhythm of sympathetic nervous function and locomotor activities in metabolic syndrome rats. Clin Exp Pharmacol Physiol. 2017;44:522-5. doi:10.1111/1440-1681.12725.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Wan N, Rahman A, Hitomi H, Nishiyama A. The Effects of Sodium-Glucose Cotransporter 2 Inhibitors on Sympathetic Nervous Activity. Front. Endocrinol. (Lausanne) 2018;9:421. doi:10.3389/fendo.2018.00421.</mixed-citation><mixed-citation xml:lang="en">Wan N, Rahman A, Hitomi H, Nishiyama A. The Effects of Sodium-Glucose Cotransporter 2 Inhibitors on Sympathetic Nervous Activity. Front. Endocrinol. (Lausanne) 2018;9:421. doi:10.3389/fendo.2018.00421.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Herat LY, Magno AL, Rudnicka C, et al. SGLT2 Inhibitor-Induced Sympathoinhibition: A Novel Mechanism for Cardiorenal Protection. JACC Basic Transl Sci. 2020;5(2):169-79. doi:10.1016/j.jacbts.2019.11.007.</mixed-citation><mixed-citation xml:lang="en">Herat LY, Magno AL, Rudnicka C, et al. SGLT2 Inhibitor-Induced Sympathoinhibition: A Novel Mechanism for Cardiorenal Protection. JACC Basic Transl Sci. 2020;5(2):169-79. doi:10.1016/j.jacbts.2019.11.007.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Seferović PM, Fragasso G, Petrie M, et al. Sodium glucose co-transporter-2 inhibitors in heart failure: beyond glycaemic control. The Position Paper of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2020; Jul 2. doi:10.1002/ejhf.1954.</mixed-citation><mixed-citation xml:lang="en">Seferović PM, Fragasso G, Petrie M, et al. Sodium glucose co-transporter-2 inhibitors in heart failure: beyond glycaemic control. The Position Paper of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2020; Jul 2. doi:10.1002/ejhf.1954.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">McMurray JJV, Solomon SD, Inzucchi SE, et al. Dapagliflozin in patients with heart failure and reduced ejection fraction. N Engl J Med. 2019;21:1995-2008. doi:10.1056/NEJMoa1911303.</mixed-citation><mixed-citation xml:lang="en">McMurray JJV, Solomon SD, Inzucchi SE, et al. Dapagliflozin in patients with heart failure and reduced ejection fraction. N Engl J Med. 2019;21:1995-2008. doi:10.1056/NEJMoa1911303.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Seman L, Macha S, Nehmiz G, et al. Empagliflozin (BI 10773), a potent and selective SGLT2 inhibitor, induces dose-dependent glucosuria in healthy subjects. Clin Phamac in Drug Dev. 2013;2(2):152-61. doi:10.1002/cpdd.16.</mixed-citation><mixed-citation xml:lang="en">Seman L, Macha S, Nehmiz G, et al. Empagliflozin (BI 10773), a potent and selective SGLT2 inhibitor, induces dose-dependent glucosuria in healthy subjects. Clin Phamac in Drug Dev. 2013;2(2):152-61. doi:10.1002/cpdd.16.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Verma S, McMurray JJV, Cherney DZI. The metabolodiuretic promise of sodiumdependent glucose cotransporter 2 inhibition: the search for the sweet spot in heart failure. JAMA Cardiol. 2017;2:939-40. doi:10.1001/jamacardio.2017.1891.</mixed-citation><mixed-citation xml:lang="en">Verma S, McMurray JJV, Cherney DZI. The metabolodiuretic promise of sodiumdependent glucose cotransporter 2 inhibition: the search for the sweet spot in heart failure. JAMA Cardiol. 2017;2:939-40. doi:10.1001/jamacardio.2017.1891.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Sattar N, McLaren J, Kristensen SL, et al. SGLT2 inhibition and cardiovascular events: why did EMPA-REG Outcomes surprise and what were the likely mechanisms? Diabetologia. 2016;59:1333-9. doi:10.1007/s00125-016-3956-x.</mixed-citation><mixed-citation xml:lang="en">Sattar N, McLaren J, Kristensen SL, et al. SGLT2 inhibition and cardiovascular events: why did EMPA-REG Outcomes surprise and what were the likely mechanisms? Diabetologia. 2016;59:1333-9. doi:10.1007/s00125-016-3956-x.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Ferrannini E, Mark M, Mayoux E. CV protection in the EMPA-REG OUTCOME trial: a “thrifty substrate” hypothesis. Diabetes Care. 2016;39:1108-14. doi:10.2337/dc16-0330.</mixed-citation><mixed-citation xml:lang="en">Ferrannini E, Mark M, Mayoux E. CV protection in the EMPA-REG OUTCOME trial: a “thrifty substrate” hypothesis. Diabetes Care. 2016;39:1108-14. doi:10.2337/dc16-0330.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Mudaliar S, Alloju S, Henry RR. Can a shift in fuel energetics explain the beneficial cardiorenal outcomes in the EMPA-REG OUTCOME study? A unifying hypothesis. Diabetes Care. 2016;39:1115-22. doi:10.2337/dc16-0542.</mixed-citation><mixed-citation xml:lang="en">Mudaliar S, Alloju S, Henry RR. Can a shift in fuel energetics explain the beneficial cardiorenal outcomes in the EMPA-REG OUTCOME study? A unifying hypothesis. Diabetes Care. 2016;39:1115-22. doi:10.2337/dc16-0542.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Heerspink HJL, et al. Renoprotective effects of sodium-glucose cotransporter-2 inhibitors. Kidney Int. 2018;94(1):26-39. doi:10.1016/j.kint.2017.12.027.</mixed-citation><mixed-citation xml:lang="en">Heerspink HJL, et al. Renoprotective effects of sodium-glucose cotransporter-2 inhibitors. Kidney Int. 2018;94(1):26-39. doi:10.1016/j.kint.2017.12.027.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Tamargo J. Sodium-glucose Cotransporter 2 Inhibitors in Heart Failure: Potential Mechanisms of Action, Adverse Effects and Future Developments Eur Cardiol. 2019;14(1):23-32. doi:10.15420/ecr.2018.34.2.</mixed-citation><mixed-citation xml:lang="en">Tamargo J. Sodium-glucose Cotransporter 2 Inhibitors in Heart Failure: Potential Mechanisms of Action, Adverse Effects and Future Developments Eur Cardiol. 2019;14(1):23-32. doi:10.15420/ecr.2018.34.2.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Karg MV, Bosch A, Kannenkeril D, et al. SGLT-2-inhibition with dapagliflozin reduces tissue sodium content: a randomized controlled trial. Cardiovasc Diabetol. 2018;17:5. doi:10.1186/s12933-017-0654-z.</mixed-citation><mixed-citation xml:lang="en">Karg MV, Bosch A, Kannenkeril D, et al. SGLT-2-inhibition with dapagliflozin reduces tissue sodium content: a randomized controlled trial. Cardiovasc Diabetol. 2018;17:5. doi:10.1186/s12933-017-0654-z.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Uthman L, Baartscheer A, Bleijlevens B, et al. Class effects of SGLT2 inhibitors in mouse cardiomyocytes and hearts: inhibition of Na + /H + exchanger, lowering of cytosolic Na + and vasodilation. Diabetologia. 2018;61(3):722-6. doi:10.1007/s00125-017-4509-7.</mixed-citation><mixed-citation xml:lang="en">Uthman L, Baartscheer A, Bleijlevens B, et al. Class effects of SGLT2 inhibitors in mouse cardiomyocytes and hearts: inhibition of Na + /H + exchanger, lowering of cytosolic Na + and vasodilation. Diabetologia. 2018;61(3):722-6. doi:10.1007/s00125-017-4509-7.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Hallow KM, Helmlinger G, Greasley PJ, et al. Why do SGLT2 inhibitors reduce heart failure hospitalization? A differential volume regulation hypothesis. Diabetes 2018; Obes Metab. 20:479-87. doi:10.1111/dom.13126.</mixed-citation><mixed-citation xml:lang="en">Hallow KM, Helmlinger G, Greasley PJ, et al. Why do SGLT2 inhibitors reduce heart failure hospitalization? A differential volume regulation hypothesis. Diabetes 2018; Obes Metab. 20:479-87. doi:10.1111/dom.13126.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Ott C, Jumar A, Striepe K, et al. A randomised study of the impact of the SGLT2 inhibitor dapagliflozin on microvascular and macrovascular circulation. Cardiovasc Diabetol. 2017;16:26. doi:10.1186/s12933-017-0510-1.</mixed-citation><mixed-citation xml:lang="en">Ott C, Jumar A, Striepe K, et al. A randomised study of the impact of the SGLT2 inhibitor dapagliflozin on microvascular and macrovascular circulation. Cardiovasc Diabetol. 2017;16:26. doi:10.1186/s12933-017-0510-1.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Pfeifer M, Townsend RR, Davies MJ, et al. Effects of canagliflozin, a sodium glucose cotransporter 2 inhibitor, on blood pressure and markers of arterial stiffness in patients with type 2 diabetes mellitus: a post hoc analysis. Cardiovasc Diabetol. 2017;16:29. doi:10.1186/s12933-017-0511-0.</mixed-citation><mixed-citation xml:lang="en">Pfeifer M, Townsend RR, Davies MJ, et al. Effects of canagliflozin, a sodium glucose cotransporter 2 inhibitor, on blood pressure and markers of arterial stiffness in patients with type 2 diabetes mellitus: a post hoc analysis. Cardiovasc Diabetol. 2017;16:29. doi:10.1186/s12933-017-0511-0.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Solini A, Giannini L, Seghieri M, et al. Dapagliflozin acutely improves endothelial dysfunction, reduces aortic stiffness and renal resistive index in type 2 diabetic patients: a pilot study. Cardiovasc Diabetol. 2017;16(1):138. doi:10.1186/s12933-017-0621-8.</mixed-citation><mixed-citation xml:lang="en">Solini A, Giannini L, Seghieri M, et al. Dapagliflozin acutely improves endothelial dysfunction, reduces aortic stiffness and renal resistive index in type 2 diabetic patients: a pilot study. Cardiovasc Diabetol. 2017;16(1):138. doi:10.1186/s12933-017-0621-8.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Brown AJM, Lang C, McCrimmon R, Struthers A. Does dapagliflozin regress left ventricular hypertrophy in patients with type 2 diabetes? A prospective, double-blind, randomised, placebocontrolled study. BMC Cardiovasc Disord. 2017;17:229. doi:10.1186/s12872017-0663-6.</mixed-citation><mixed-citation xml:lang="en">Brown AJM, Lang C, McCrimmon R, Struthers A. Does dapagliflozin regress left ventricular hypertrophy in patients with type 2 diabetes? A prospective, double-blind, randomised, placebocontrolled study. BMC Cardiovasc Disord. 2017;17:229. doi:10.1186/s12872017-0663-6.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Natali A, Nesti L, Fabiani I, et al. Impact of empagliflozin on subclinical left ventricular dysfunctions and on the mechanisms involved in myocardial disease progression in type 2 diabetes: rationale and design of the EMPA-HEART trial. Cardiovasc Diabetol. 2017;16:130. doi:10.1186/s12933-017-0615-6.</mixed-citation><mixed-citation xml:lang="en">Natali A, Nesti L, Fabiani I, et al. Impact of empagliflozin on subclinical left ventricular dysfunctions and on the mechanisms involved in myocardial disease progression in type 2 diabetes: rationale and design of the EMPA-HEART trial. Cardiovasc Diabetol. 2017;16:130. doi:10.1186/s12933-017-0615-6.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Singh JS, Fathi A, Vickneson K, et al. Research into the effect of SGLT2 inhibition on left ventricular remodelling in patients with heart failure and diabetes mellitus (REFORM) trial rationale and design. Cardiovasc Diabetol. 2016;15:97. doi:10.1186/s12933-0160419-0.</mixed-citation><mixed-citation xml:lang="en">Singh JS, Fathi A, Vickneson K, et al. Research into the effect of SGLT2 inhibition on left ventricular remodelling in patients with heart failure and diabetes mellitus (REFORM) trial rationale and design. Cardiovasc Diabetol. 2016;15:97. doi:10.1186/s12933-0160419-0.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Verma S, Mazer CD, Yan AT, et al. EMPA-HEART Cardiolink-6 trial: a randomized trial evaluating the effect of empagliflozin on left ventricular structure, function and biomarkers in people with type 2 diabetes (T2D) and coronary heart disease [abstract]. Сirculation. 2018;138(25):A19332. doi:10.1161/CIRCULATIONAHA.119.042375.</mixed-citation><mixed-citation xml:lang="en">Verma S, Mazer CD, Yan AT, et al. EMPA-HEART Cardiolink-6 trial: a randomized trial evaluating the effect of empagliflozin on left ventricular structure, function and biomarkers in people with type 2 diabetes (T2D) and coronary heart disease [abstract]. Сirculation. 2018;138(25):A19332. doi:10.1161/CIRCULATIONAHA.119.042375.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Brown AJM, Gandy S, McCrimmon R, et al. A randomized controlled trial of dapagliflozin on left ventricular hypertrophy in people with type two diabetes: the DAPA-LVH trial. Eur Heart J. 2020;00:1-12, Jun 24;ehaa419. doi:10.1093/eurheartj/ehaa419.</mixed-citation><mixed-citation xml:lang="en">Brown AJM, Gandy S, McCrimmon R, et al. A randomized controlled trial of dapagliflozin on left ventricular hypertrophy in people with type two diabetes: the DAPA-LVH trial. Eur Heart J. 2020;00:1-12, Jun 24;ehaa419. doi:10.1093/eurheartj/ehaa419.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Fedak PW, Verma S, Weisel RD, Li RK. Cardiac remodeling and failure from molecules to man (part II). Cardiovasc Pathol. 2006;14:49-60. doi:10.1016/j.carpath.2005.01.005.</mixed-citation><mixed-citation xml:lang="en">Fedak PW, Verma S, Weisel RD, Li RK. Cardiac remodeling and failure from molecules to man (part II). Cardiovasc Pathol. 2006;14:49-60. doi:10.1016/j.carpath.2005.01.005.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Lee TM, Chang NC, Lin SZ. Dapagliflozin, a selective SGLT2 inhibitor, attenuated cardiac fibrosis by regulating the macrophage polarization via STAT3 signaling in infarcted rat hearts. Free Radic Biol Med. 2017;104:298-310. doi:10.1016/j.freeradbiomed.2017.01.035.</mixed-citation><mixed-citation xml:lang="en">Lee TM, Chang NC, Lin SZ. Dapagliflozin, a selective SGLT2 inhibitor, attenuated cardiac fibrosis by regulating the macrophage polarization via STAT3 signaling in infarcted rat hearts. Free Radic Biol Med. 2017;104:298-310. doi:10.1016/j.freeradbiomed.2017.01.035.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Patel VB, Shah S, Verma S, Oudit GY. Epicardial adipose tissue as a metabolic transducer: role in heart failure and coronary artery disease. Heart Fail Rev. 2017;22:889-902. doi:10.1007/s10741-017-9644-1.</mixed-citation><mixed-citation xml:lang="en">Patel VB, Shah S, Verma S, Oudit GY. Epicardial adipose tissue as a metabolic transducer: role in heart failure and coronary artery disease. Heart Fail Rev. 2017;22:889-902. doi:10.1007/s10741-017-9644-1.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Sato T, Aizawa Y, Yuasa S, et al. The effect of dapagliflozin treatment on epicardial adipose tissue volume. Cardiovasc Diabetol. 2018;17(1):6. doi:10.1186/s12933-017-0658-8.</mixed-citation><mixed-citation xml:lang="en">Sato T, Aizawa Y, Yuasa S, et al. The effect of dapagliflozin treatment on epicardial adipose tissue volume. Cardiovasc Diabetol. 2018;17(1):6. doi:10.1186/s12933-017-0658-8.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Garvey WT, Van Gaal L, Leiter LA, et al. Effects of canagliflozin versus glimepiride on adipokines and inflammatory biomarkers in type 2 diabetes. Metabolism. 2018;85:32-7. doi:10.1016/j.metabol.2018.02.002.</mixed-citation><mixed-citation xml:lang="en">Garvey WT, Van Gaal L, Leiter LA, et al. Effects of canagliflozin versus glimepiride on adipokines and inflammatory biomarkers in type 2 diabetes. Metabolism. 2018;85:32-7. doi:10.1016/j.metabol.2018.02.002.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Bers DM. Cardiac sarcoplasmic reticulum calcium leak: basis and roles in cardiac dysfunction. Annu Rev Physiol. 2014;76:107-27. doi:10.1146/annurevphysiol-020911-153308.</mixed-citation><mixed-citation xml:lang="en">Bers DM. Cardiac sarcoplasmic reticulum calcium leak: basis and roles in cardiac dysfunction. Annu Rev Physiol. 2014;76:107-27. doi:10.1146/annurevphysiol-020911-153308.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Baartscheer A, Schumacher CA, Wust RC, et al. Empagliflozin decreases myocardial cytoplasmic Na + through inhibition of the cardiac Na+ /H + exchanger in rats and rabbits. Diabetologia. 2017;60:568-73. doi:10.1007/s00125-016-4134-x.</mixed-citation><mixed-citation xml:lang="en">Baartscheer A, Schumacher CA, Wust RC, et al. Empagliflozin decreases myocardial cytoplasmic Na + through inhibition of the cardiac Na+ /H + exchanger in rats and rabbits. Diabetologia. 2017;60:568-73. doi:10.1007/s00125-016-4134-x.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Liu T, Takimoto E, Dimaano VL, et al. Inhibiting mitochondrial Na+ /Ca 2+ exchange prevents sudden death in a guinea pig model of heart failure. Circ Res. 2014;115:44-54. doi:10.1161/CIRCRESAHA.115.303062.</mixed-citation><mixed-citation xml:lang="en">Liu T, Takimoto E, Dimaano VL, et al. Inhibiting mitochondrial Na+ /Ca 2+ exchange prevents sudden death in a guinea pig model of heart failure. Circ Res. 2014;115:44-54. doi:10.1161/CIRCRESAHA.115.303062.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Gallo LA, Wright EM, Vallon V. Probing SGLT2 as a therapeutic target for diabetes: basic physiology and consequences. Diab Vasc Dis Res. 2015;12:78-89. doi:10.1177/1479164114561992.</mixed-citation><mixed-citation xml:lang="en">Gallo LA, Wright EM, Vallon V. Probing SGLT2 as a therapeutic target for diabetes: basic physiology and consequences. Diab Vasc Dis Res. 2015;12:78-89. doi:10.1177/1479164114561992.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Lopaschuk GD, Ussher JR, Folmes CD, et al. Myocardial fatty acid metabolism in health and disease. Physiol Rev. 2010;90:207-58. doi:10.1152/physrev.00015.2009.</mixed-citation><mixed-citation xml:lang="en">Lopaschuk GD, Ussher JR, Folmes CD, et al. Myocardial fatty acid metabolism in health and disease. Physiol Rev. 2010;90:207-58. doi:10.1152/physrev.00015.2009.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Mizuno Y, Harada E, Nakagawa H, et al. The diabetic heart utilizes ketone bodies as an energy source. Metabolism. 2017;77:65-72. doi:10.1016/j.metabol.2017.08.005.</mixed-citation><mixed-citation xml:lang="en">Mizuno Y, Harada E, Nakagawa H, et al. The diabetic heart utilizes ketone bodies as an energy source. Metabolism. 2017;77:65-72. doi:10.1016/j.metabol.2017.08.005.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Gormsen LC, Svart M, Thomsen HH, et al. Ketone body infusion with 3-hydroxybutyrate reduces myocardial glucose uptake and increases blood flow in humans: a positron emission tomography study. J Am Heart Assoc. 2017;6(3):e005066. doi:10.1161/JAHA.116.005066.</mixed-citation><mixed-citation xml:lang="en">Gormsen LC, Svart M, Thomsen HH, et al. Ketone body infusion with 3-hydroxybutyrate reduces myocardial glucose uptake and increases blood flow in humans: a positron emission tomography study. J Am Heart Assoc. 2017;6(3):e005066. doi:10.1161/JAHA.116.005066.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Stowe KA, Burgess SC, Merritt M, et al. Storage and oxidation of long-chain fatty acids in the C57/BL6 mouse heart as measured by NMR spectroscopy. FEBS Lett. 2006;580:4282-7. doi:10.1016/j.febslet.2006.06.068.</mixed-citation><mixed-citation xml:lang="en">Stowe KA, Burgess SC, Merritt M, et al. Storage and oxidation of long-chain fatty acids in the C57/BL6 mouse heart as measured by NMR spectroscopy. FEBS Lett. 2006;580:4282-7. doi:10.1016/j.febslet.2006.06.068.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Wende AR, Brahma MK, McGinnis GR, Young ME. Metabolic Origins of Heart Failure. JACC: basic to translational science. 2017;2(3):297-310. doi:10.1016/j.jacbts.2016.11.009.</mixed-citation><mixed-citation xml:lang="en">Wende AR, Brahma MK, McGinnis GR, Young ME. Metabolic Origins of Heart Failure. JACC: basic to translational science. 2017;2(3):297-310. doi:10.1016/j.jacbts.2016.11.009.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">McMurray JJV, DeMets DL, Inzucchi SE, et al. A trial to evaluate the effect of the sodiumglucose co-transporter 2 inhibitor dapagliflozin on morbidity and mortality in patients with heart failure and reduced left ventricular ejection fraction (DAPA-HF). European Journal of Heart Failure. 2019;21:665-75. doi:10.1002/ejhf.1432.</mixed-citation><mixed-citation xml:lang="en">McMurray JJV, DeMets DL, Inzucchi SE, et al. A trial to evaluate the effect of the sodiumglucose co-transporter 2 inhibitor dapagliflozin on morbidity and mortality in patients with heart failure and reduced left ventricular ejection fraction (DAPA-HF). European Journal of Heart Failure. 2019;21:665-75. doi:10.1002/ejhf.1432.</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">McMurray JJV, Packer M, Desai AS, et al. Angiotensin-neprilysin inhibition versus enalapril in heart failure. N Engl J Med. 2014;371(11):993-1004. doi:10.1056/NEJMoa1409077.</mixed-citation><mixed-citation xml:lang="en">McMurray JJV, Packer M, Desai AS, et al. Angiotensin-neprilysin inhibition versus enalapril in heart failure. N Engl J Med. 2014;371(11):993-1004. doi:10.1056/NEJMoa1409077.</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">Docherty KF, Jhund PS, Inzucchi SE, et al. Effects of dapagliflozin in DAPA-HF according to background heart failure therapy. European Heart Journal. 2020;0:1-14. doi:10.1093/eurheartj/ehaa183.</mixed-citation><mixed-citation xml:lang="en">Docherty KF, Jhund PS, Inzucchi SE, et al. Effects of dapagliflozin in DAPA-HF according to background heart failure therapy. European Heart Journal. 2020;0:1-14. doi:10.1093/eurheartj/ehaa183.</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Greene SJ, Butler J, Albert NM, et al. Medical Therapy for Heart Failure With Reduced Ejection Fraction. J Am Coll Cardiol. 2018;72(4):351-66. doi:10.1016/j.jacc.2018.04.070.</mixed-citation><mixed-citation xml:lang="en">Greene SJ, Butler J, Albert NM, et al. Medical Therapy for Heart Failure With Reduced Ejection Fraction. J Am Coll Cardiol. 2018;72(4):351-66. doi:10.1016/j.jacc.2018.04.070.</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Инструкция по медицинскому применению лекарственного препарата Форсига® (таблетки, покрытые пленочной оболочкой, 5 мг,10 мг). Регистрационное удостоверение № ЛП 002596 от 21.08.2014.</mixed-citation><mixed-citation xml:lang="en">Instructions for medical use of the drug Forsiga® (film-coated tablets, 5 mg, 10 mg). Registration certificate no. LP 002596 dated 21.08.2014. (In Russ.)</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
