Department of Medicine, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Division of Endocrinology, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Curr Atheroscler Rep. 2016 Feb;18(2):7. doi: 10.1007/s11883-016-0558-5.
Cardiovascular disease is the leading cause of death among adults in the USA. Both type 1 (T1DM) and type 2 diabetes mellitus (T2DM) are known risk factors for cardiovascular disease. Despite the development of numerous effective anti-glycemic therapies, we have been unable to completely mitigate cardiovascular risk with glucose lowering alone, and prevention of cardiovascular disease in patients with diabetes is primarily achieved with the use of medications that address other risk factors such as anti-hypertensives or statins. Glucagon-like peptide-1 (GLP-1) is a key hormone in the pathophysiology of diabetes. GLP-1 agonists have been recently approved for the treatment of T2DM as well as for chronic weight management. In this review, we aim to explore the effects of GLP-1 agonists on cardiovascular health with a focus on cardiometabolic variables and cardiac function.
心血管疾病是美国成年人死亡的主要原因。1 型(T1DM)和 2 型糖尿病(T2DM)均是心血管疾病的已知危险因素。尽管有许多有效的降糖治疗方法,但我们仍无法仅通过降低血糖来完全降低心血管风险,而糖尿病患者心血管疾病的预防主要是通过使用其他危险因素药物来实现,如抗高血压药或他汀类药物。胰高血糖素样肽-1(GLP-1)是糖尿病病理生理学中的关键激素。GLP-1 激动剂最近已被批准用于治疗 T2DM 以及慢性体重管理。在这篇综述中,我们旨在探讨 GLP-1 激动剂对心血管健康的影响,重点关注心脏代谢变量和心脏功能。