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1 department of molecular and clinical medicine, sahlgrenska academy, university of gothenburg, gothenburg, sweden. Guidelines and expert consensus documents aim to present all the relevant evidence on a particular issue in order to help physicians to weigh the benefits and risks of a particular diagnostic or therapeutic procedure The new european society of cardiology (esc) guidelines for the treatment of heart failure will recommend a more pragmatic approach to the initiation of these agents as has been announced at the meeting of the heart failure association in early july.

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The purpose of the narrative review is to elucidate plausible perspectives for the clinical implementation of sglt2 inhibitors into optimal medical therapy in patients with hfpef. Are hospitalized or ambulatory patients with heart failure treated in accordance with european society of cardiology guidelines

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