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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Empagliflozin in Patients with Chronic Kidney Disease
Source : https://www.nejm.org/doi/10.1056/NEJMoa2204233
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Conclusions: Among a wide range of patients with chronic kidney disease who were at risk for disease progression, empagliflozin therapy led to a lower risk of progression of kidney disease or death from cardiovascular causes than placebo.
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Impact of empagliflozin on left atrial mechanical and conduction functions in patients with type 2 diabetes mellitus - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/36308321/
doi: 10.1002/jcu.23384. Online ahead of print. 1 Faculty of Medicine, Department of Cardiology, Siirt University, Siirt, Turkey. 2 Faculty of Medicine, Department of Cardiology, Altinbas University, Istanbul, Turkey. 3 Faculty...
Conclusion: Empagliflozin may enhance the structure and electrical conductions of the atrium and may prevent DM patients from DM-2-related functional disorder and arrhythmia.
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Cardiac Sodium/Hydrogen Exchanger (NHE11) as a Novel Potential Target for SGLT2i in Heart Failure: A Preliminary Study - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/36297433/
Despite the reduction of cardiovascular events, including the risk of death, associated with sodium/glucose cotransporter 2 inhibitors (SGLT2i), their basic action remains unclear. Sodium/hydrogen exchanger (NHE) has been proposed as...
Conclusion/Relevance: We described upregulation in NHE11 and NHE1, but only NHE11 correlated with human cardiac dysfunction, and its levels were reduced after treatment with empagliflozin. These results propose NHE11 as a potential target of SGLT2i in cardiac tissue.
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Physicians' Considerations and Practice Recommendations Regarding the Use of Sodium-Glucose Cotransporter-2 Inhibitors - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/36294370/
1 Division of Endocrinology, Diabetes & Metabolic Diseases, Sidney Kimmel Medical College, Thomas Jefferson University, 211 S Ninth Street, Suite 600, Philadelphia, PA 19107, USA. 2 INOVA Heart and Vascular...
Conclusion: Recognition by physicians that the benefits of SGLT-2i use on clinical outcomes outweigh the risks will result in the integration of SGLT-2is into clinical practice and lead to improved patient care and outcomes.
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