EMPA-REG OUTCOME: The Cardiologist's Point of View

被引:16
作者
Pham, Son V. [1 ]
Chilton, Robert J. [1 ]
机构
[1] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA
关键词
COTRANSPORTER; 2; INHIBITORS; TYPE-2; DIABETES-MELLITUS; HEART-RATE-VARIABILITY; CORONARY FLOW RESERVE; ARTERIAL STIFFNESS; BLOOD-PRESSURE; CARDIOVASCULAR OUTCOMES; VASCULAR-RESISTANCE; EMPAGLIFLOZIN; DISEASE;
D O I
10.1016/j.amjcard.2017.05.011
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiologists could view empagliflozin as a cardiovascular drug that also has a beneficial effect on reducing hyperglycemia in patients with type 2 diabetes mellitus (T2DM). The effects of empagliflozin in lowering the risk of cardiovascular death and hospitalization for heart failure in T2DM patients with high cardiovascular risk during the recent Empagliflozin Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients-Removing Excess Glucose (EMPA-REG OUTCOME) trial may be explained principally in terms of changes to cardiovascular physiology; namely, by the potential ability of empagliflozin to reduce cardiac workload and myocardial oxygen consumption by lowering blood pressure, improving aortic compliance, and improving ventricular arterial coupling. These concepts and hypotheses are discussed in this report. (C) 2017 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
引用
收藏
页码:S53 / S58
页数:6
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