Heart Failure Deep Dive SeriesEp 2 of 4
Diabetes Drugs For Stiff Heart Failure

Hosted by Sarah Mitchell & James Carter

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Key Takeaways
  • EMPEROR-Preserved and DELIVER: both SGLT2 inhibitors significantly reduce HF hospitalisation in HFpEF - first drugs to do so after 20 years of failed trials
  • FINEARTS-HF 2024: finerenone (non-steroidal MRA) also reduces worsening HF events in HFmrEF/HFpEF
  • HFpEF driven by inflammation, fibrosis, metabolic comorbidities - not neurohormonal activation; explains why earlier drug classes failed
  • Structured HFpEF diagnosis using HFA-PEFF or H2FPEF algorithms is now clinically important as effective treatments exist
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Team TLSFE. Diabetes drugs for stiff heart failure. The Life Science Feed. Published June 1, 2026. Updated June 1, 2026. Accessed June 1, 2026. https://thelifesciencefeed.com/cardiology/heart-failure/research/diabetes-drugs-for-stiff-heart-failure.

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All content is researched from peer-reviewed, open-access sources — published trial data, clinical guidelines, and regulatory filings. AI tools are used solely to structure and summarise that evidence; no AI-generated conclusions appear without editor verification against the primary source.

Every article is reviewed by a named editor before publication. Source citations are listed in the References section. This content does not represent the views of any pharmaceutical company, medical device manufacturer, or healthcare provider.

References

[1] Anker SD et al. EMPEROR-Preserved. N Engl J Med. 2021;385:1451-1461

[2] Solomon SD et al. DELIVER. N Engl J Med. 2022;387:1089-1098

[3] Lam CSP et al. EMPEROR-DELIVER pooled. Nat Med. 2022;28:2726-2734

[4] Solomon SD et al. FINEARTS-HF. N Engl J Med. 2024

[5] McDonagh TA et al. 2023 Focused Update ESC HF Guidelines. Eur Heart J. 2023