Secondary Erythrocytosis in Patients With Heart Failure on SGLT2 Inhibitors: Insights from a Multicenter “Real World” Study

Sodium glucose co-transporter 2 inhibitors (SGLT2-i) are one of the four pillars of guideline-directed medical therapy in all patients with heart failure according to the current guidelines1. Although SGLT2-i are known to increase hemoglobin (Hb) and hematocrit (Ht) levels, there is a lack of data on the burden of erythrocytosis in pivotal trials and real-world heart failure (HF) populations2-4. We have previously described a case of chronic HF with severe secondary, reversible SGLT2-i erythrocytosis in which the patient experienced HF exacerbation2.

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Journal
The American Journal of Cardiology
Published
2025-09-26
DOI
https://doi.org/10.1016/j.amjcard.2025.09.011
Primary Topic
Diabetes Treatment and Management
Type
article
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article

Secondary Erythrocytosis in Patients With Heart Failure on SGLT2 Inhibitors: Insights from a Multicenter “Real World” Study

Dennis A. Hesselink, Martijn Tukker, Kadir ÇALIŞKAN, Peter A.W. te Boekhorst et al.
The American Journal of Cardiology
Diabetes Treatment and Management
article

Secondary Erythrocytosis in Patients With Heart Failure on SGLT2 Inhibitors: Insights from a Multicenter “Real World” Study

Dennis A. Hesselink, Martijn Tukker, Kadir ÇALIŞKAN, Peter A.W. te Boekhorst, René A. Tio, Frank H. de Jong, Behiye Özcan, Joris A. Jansen, Thomas Kok, Melissa S Pherai, Selina Özoğul, Samantha Lenting
article en

Abstract

Sodium glucose co-transporter 2 inhibitors (SGLT2-i) are one of the four pillars of guideline-directed medical therapy in all patients with heart failure according to the current guidelines1. Although SGLT2-i are known to increase hemoglobin (Hb) and hematocrit (Ht) levels, there is a lack of data on the burden of erythrocytosis in pivotal trials and real-world heart failure (HF) populations2-4. We have previously described a case of chronic HF with severe secondary, reversible SGLT2-i erythrocytosis in which the patient experienced HF exacerbation2.

The American Journal of CardiologyVol. 259
Radboud University Nijmegen (NL), Catharina Ziekenhuis (NL), Erasmus MC (NL), Erasmus MC Cancer Institute (NL), Thorax Foundation (GR), Erasmus University Rotterdam (NL)
Openalex Percentile: Top 64%
Diabetes Treatment and Management
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Secondary Erythrocytosis in Patients With Heart Failure on SGLT2 Inhibitors: Insights from a Multicenter “Real World” Study — Dennis A. Hesselink, Martijn Tukker, et al. · The American Journal of Cardiology (2025) | TGRS Research Map | TGRS