Authors:
Amy Hu, PharmD
Kathleen Pincus, PharmD, BCPS, BCACP, CDCES

Reviewers:
Kelsey Norman, PharmD, BCCP, BCACP, BCPS
John Shilka, PharmD, BCPS, BCACP
Carrie Yu, PharmD

Citation: Butler J, Jones WS, Udell JA, et al. Empagliflozin after Acute Myocardial InfarctionN Eng J Med. 2024;390(16):1455-1466. 

The Problem

Heart disease has killed more Americans since 1950 than any other health condition.1  Despite advances in the management of acute myocardial infarction (MI), up to 38% of patients will experience signs of heart failure (HF).  Many will have a reduced left ventricular ejection fraction (LVEF), leading to increased mortality and, long-term, HF complications.2 Sodium-glucose cotransporter 2 (SGLT2) inhibitors have well-documented cardiovascular benefits and are indicated for the treatment of HF, chronic kidney disease (CKD), and type 2 diabetes mellitus (T2DM).3,4 However, data regarding their usefulness after an acute MI are limited.

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