Effect of sodium glucose cotransporter 2 inhibitors on cardiac function and cardiovascular outcome: a systematic review

被引:16
作者
Matsumura, Koichiro [1 ]
Sugiura, Tetsuro [1 ]
机构
[1] Kansai Med Univ, Med Ctr, Dept Cardiol, 10-15 Fumizono Cho, Moriguchi, Osaka 5708507, Japan
关键词
Diabetes mellitus; Cardiac function; SGLT2; inhibitor; HEART-FAILURE; DIASTOLIC FUNCTION; OXIDATIVE STRESS; SGLT2; INHIBITION; EMPAGLIFLOZIN; DAPAGLIFLOZIN; FIBROSIS; CARDIOMYOPATHY; DYSFUNCTION; MORTALITY;
D O I
10.1186/s12947-019-0177-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A high incidence of left ventricular diastolic dysfunction and increased risk of cardiovascular events have been reported in patients with diabetes mellitus. Sodium glucose cotransporter 2 (SGLT2) inhibitors selectively inhibit kidney glucose and sodium reabsorption, and cardiovascular benefits of SGLT2 inhibitors beyond other antidiabetic drugs have been reported in type 2 diabetes mellitus (T2DM) clinical trials. However, underlying mechanisms contributing to the improvement of cardiovascular outcomes have not been clearly identified. In this review, likely mechanisms of SGLT2 inhibitors contributing to a favorable cardiovascular outcomes are discussed based on experimental and clinical studies on cardiac function.
引用
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页数:6
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