关键词: Cardiac function Diabetes mellitus SGLT2 inhibitor

Mesh : Animals Cardiovascular Diseases / epidemiology etiology physiopathology Diabetes Mellitus, Type 2 / complications drug therapy physiopathology Global Health Humans Incidence Sodium-Glucose Transporter 2 Inhibitors / pharmacology Ventricular Function / drug effects physiology

来  源:   DOI:10.1186/s12947-019-0177-8   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
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.
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