Cardiovascular effects of sodium glucose cotransporter 2 inhibitors

Tricia Santos Cavaiola, Jeremy Pettus Division of Endocrinology and Metabolism, University of California San Diego, San Diego, CA, USA Abstract: As the first cardiovascular (CV) outcome trial of a glucose-lowering agent to demonstrate a reduction in the risk of CV events in patients with type 2 diab...

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Autores principales: Santos Cavaiola T, Pettus J
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
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Acceso en línea:https://doaj.org/article/22fde3a5635941f3ab60581c846e8217
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spelling oai:doaj.org-article:22fde3a5635941f3ab60581c846e82172021-12-02T11:07:32ZCardiovascular effects of sodium glucose cotransporter 2 inhibitors1178-7007https://doaj.org/article/22fde3a5635941f3ab60581c846e82172018-04-01T00:00:00Zhttps://www.dovepress.com/cardiovascular-effects-of-sodium-glucose-cotransporter-2-inhibitors-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Tricia Santos Cavaiola, Jeremy Pettus Division of Endocrinology and Metabolism, University of California San Diego, San Diego, CA, USA Abstract: As the first cardiovascular (CV) outcome trial of a glucose-lowering agent to demonstrate a reduction in the risk of CV events in patients with type 2 diabetes mellitus (T2DM), the EMPAgliflozin Removal of Excess Glucose: Cardiovascular OUTCOME Event Trial in Type 2 Diabetes Mellitus Patients (EMPA-REG OUTCOME®) trial, which investigated the sodium glucose cotransporter 2 (SGLT2) inhibitor empagliflozin, has generated great interest among health care professionals. CV outcomes data for another SGLT2 inhibitor, canagliflozin, have been published recently in the CANagliflozin CardioVascular Assessment Study (CANVAS) Program, as have CV data from the retrospective real-world study Comparative Effectiveness of Cardiovascular Outcomes in New Users of Sodium-Glucose Cotransporter-2 Inhibitors (CVD-REAL), which compared SGLT2 inhibitors with other classes of glucose-lowering drugs. This review discusses the results of these three studies and, with a focus on EMPA-REG OUTCOME, examines the possible mechanisms by which SGLT2 inhibitors may reduce CV risk in patients with T2DM. Keywords: canagliflozin, cardiovascular outcomes, dapagliflozin, empagliflozin, mechanisms, sodium glucose cotransporter 2 inhibitorsSantos Cavaiola TPettus JDove Medical Pressarticlecanagliflozincardiovascular outcomesdapagliflozinempagliflozinmechanismssodium glucose cotransporter 2 inhibitorsSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 11, Pp 133-148 (2018)
institution DOAJ
collection DOAJ
language EN
topic canagliflozin
cardiovascular outcomes
dapagliflozin
empagliflozin
mechanisms
sodium glucose cotransporter 2 inhibitors
Specialties of internal medicine
RC581-951
spellingShingle canagliflozin
cardiovascular outcomes
dapagliflozin
empagliflozin
mechanisms
sodium glucose cotransporter 2 inhibitors
Specialties of internal medicine
RC581-951
Santos Cavaiola T
Pettus J
Cardiovascular effects of sodium glucose cotransporter 2 inhibitors
description Tricia Santos Cavaiola, Jeremy Pettus Division of Endocrinology and Metabolism, University of California San Diego, San Diego, CA, USA Abstract: As the first cardiovascular (CV) outcome trial of a glucose-lowering agent to demonstrate a reduction in the risk of CV events in patients with type 2 diabetes mellitus (T2DM), the EMPAgliflozin Removal of Excess Glucose: Cardiovascular OUTCOME Event Trial in Type 2 Diabetes Mellitus Patients (EMPA-REG OUTCOME®) trial, which investigated the sodium glucose cotransporter 2 (SGLT2) inhibitor empagliflozin, has generated great interest among health care professionals. CV outcomes data for another SGLT2 inhibitor, canagliflozin, have been published recently in the CANagliflozin CardioVascular Assessment Study (CANVAS) Program, as have CV data from the retrospective real-world study Comparative Effectiveness of Cardiovascular Outcomes in New Users of Sodium-Glucose Cotransporter-2 Inhibitors (CVD-REAL), which compared SGLT2 inhibitors with other classes of glucose-lowering drugs. This review discusses the results of these three studies and, with a focus on EMPA-REG OUTCOME, examines the possible mechanisms by which SGLT2 inhibitors may reduce CV risk in patients with T2DM. Keywords: canagliflozin, cardiovascular outcomes, dapagliflozin, empagliflozin, mechanisms, sodium glucose cotransporter 2 inhibitors
format article
author Santos Cavaiola T
Pettus J
author_facet Santos Cavaiola T
Pettus J
author_sort Santos Cavaiola T
title Cardiovascular effects of sodium glucose cotransporter 2 inhibitors
title_short Cardiovascular effects of sodium glucose cotransporter 2 inhibitors
title_full Cardiovascular effects of sodium glucose cotransporter 2 inhibitors
title_fullStr Cardiovascular effects of sodium glucose cotransporter 2 inhibitors
title_full_unstemmed Cardiovascular effects of sodium glucose cotransporter 2 inhibitors
title_sort cardiovascular effects of sodium glucose cotransporter 2 inhibitors
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/22fde3a5635941f3ab60581c846e8217
work_keys_str_mv AT santoscavaiolat cardiovasculareffectsofsodiumglucosecotransporter2inhibitors
AT pettusj cardiovasculareffectsofsodiumglucosecotransporter2inhibitors
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