SGLT2 Inhibitors in Heart Failure

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Questions and Answers

What is the effect of SGLT2 inhibitors on glucose and sodium reabsorption in the proximal kidney tubules?

  • Increase glucose and sodium reabsorption
  • Have no effect on glucose and sodium reabsorption
  • Inhibit glucose and sodium reabsorption (correct)
  • Decrease glucose reabsorption and increase sodium reabsorption

In which patient population are SGLT2 inhibitors recommended to reduce morbidity and mortality?

  • Patients with symptomatic chronic HFrEF, regardless of the presence of type 2 diabetes (correct)
  • Patients with type 1 diabetes only
  • Patients with asymptomatic chronic HFrEF
  • Patients with hypertension only

What should patients taking SGLT2 inhibitors be advised to avoid?

  • Drinking plenty of water
  • Abrupt changes in position (correct)
  • Eating a balanced diet
  • Taking other medications

What is a potential side effect of SGLT2 inhibitors?

<p>Orthostasis (C)</p> Signup and view all the answers

What is the effect of SGLT2 inhibitors on arterial pressure?

<p>Decrease arterial pressure (D)</p> Signup and view all the answers

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Study Notes

SGLT2 Inhibitors

  • Inhibit glucose and sodium reabsorption in proximal kidney tubules, leading to osmotic diuresis and natriuresis
  • Reduce arterial pressure

Uses of SGLT2 Inhibitors

  • Recommended in patients with symptomatic chronic HFrEF to reduce morbidity and mortality
  • Effective in patients with or without type 2 diabetes
  • Dapagliflozin or empagliflozin are specific SGLT2 inhibitors used for this purpose

Precautions with SGLT2 Inhibitors

  • Patients should avoid abrupt changes in position to minimize risk of orthostasis
  • Overdiuresis increases the risk of orthostasis

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