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we consider impulse as the missing link because we have seen beneficial effects of the sglt2 inhibitors in patients with chronic heart failure so both in patients with preserved and reduced ejection fractions so dapa hf emperor preserved emperor reduced but there were reasons to believe especially because of the decongestive effects of stlt2 inhibitors that they might also work in a more acute setting from patient hospitalized for acute heart failure one of the good things about this study is we had a wide range of patients so most of the acute heart failure studies they exclude patients who had de novo acute heart failure so who did not have heart failure before and the first the first expression of heart failure was this hostile admission so there were treatment naive this this group was included we included both patients with diabetes and without diabetes the sister study soloist which which was a little bit looked like impulse only included diabetic patients so we did both we incl...
