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Mechanism of action and therapeutic use of bempedoic acid in atherosclerosis and metabolic syndrome

Mechanism of action and therapeutic use of bempedoic acid in atherosclerosis and metabolic syndrome

Source : https://www.frontiersin.org/articles/10.3389/fcvm.2022.1028355/full

Bempedoic acid is a new cholesterol-lowering drug, which has recently received US FDA and EMA approval. This drug targets lipid and glucose metabolism as well as inflammation via downregulation of...



Relevance: The aim of this narrative review on bempedoic acid is to explore the underlying mechanisms of action and potential clinical targets, present existing evidence from clinical trials, and describe practical management of patients.

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Conclusions: Among people with neither diabetes nor significant heart failure but with risk factors for adverse cardiac remodeling, SGLT2 inhibition with empagliflozin did not result in a meaningful reduction in LVMi after 6 months.

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Relevance: This systematic review's objective is to investigate and explore the full range of empagliflozin's effects and advantages on cardiac structure, function, and hemodynamics and renal function in patients with heart failure with reduced ejection fraction (EF) in order to better understand the drug's effects and related mechanisms.

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Meaning: Optimal implementation of SGLT-2 inhibitors to approximately 4.8 million patients with HF in the US is estimated to potentially cause a reduction of about 250 000 worsening HF events in patients with LVEF more than 40% over 3 years, contributing to possible prevention/postponement of total approximately 630 000 events...

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Impact of early initiation of sodium-glucose cotransporter 2 inhibitor on cardiovascular outcomes in people with diabetes and known or at risk of atherosclerotic cardiovascular disease: Propensity score matched analysis

Impact of early initiation of sodium-glucose cotransporter 2 inhibitor on cardiovascular outcomes in people with diabetes and known or at risk of atherosclerotic cardiovascular disease: Propensity score matched analysis

Source : https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0277321

Objective We aimed to evaluate the impact of early initiation of sodium-glucose cotransporter 2 inhibitors (SGLT2i) on cardiovascular (CV) outcomes in people with type 2 diabetes (T2D) with known or...



Conclusion: Early initiation of SGLT2 inhibitor was associated with lower MACE rates in T2D with known or at risk of ASCVD.

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