Department of Internal Medicine I, Nephrology, University Hospital Würzburg, Oberdürrbacherstr. 6, 97080, Würzburg, Germany.
Department of Internal Medicine I, Cardiology, University Hospital Aachen, RWTH Aachen University, Aachen, Germany.
Diabetologia. 2018 Oct;61(10):2134-2139. doi: 10.1007/s00125-018-4678-z. Epub 2018 Aug 22.
Individuals with diabetes mellitus exhibit an increased propensity to develop cardiovascular disorders such as coronary artery disease, stroke and heart failure. Over recent decades, numerous cardiovascular outcome trials in individuals with type 2 diabetes have been published, with data showing a reduction of cardiovascular morbidity and mortality by sodium-glucose cotransporter 2 (SGLT2) inhibitors. These results not only provide novel therapeutic options for this high-risk population but also advance our current understanding of cardiovascular risk reduction in diabetes. The current overview article summarises these aspects and discusses future treatment strategies with SGLT2 inhibitors in diabetic and non-diabetic individuals with chronic kidney disease, liver disease and heart failure.
糖尿病患者表现出更高的心血管疾病易感性,如冠状动脉疾病、中风和心力衰竭。近几十年来,发表了许多 2 型糖尿病患者的心血管结局试验,数据显示钠-葡萄糖共转运蛋白 2(SGLT2)抑制剂可降低心血管发病率和死亡率。这些结果不仅为这一高危人群提供了新的治疗选择,也提高了我们对糖尿病患者心血管风险降低的现有认识。本文综述了这些方面,并讨论了 SGLT2 抑制剂在慢性肾脏病、肝病和心力衰竭的糖尿病和非糖尿病患者中的未来治疗策略。