Scheen A J
Service de Diabétologie, Nutrition et Maladies métaboliques et Unité de Pharmacologie clinique, CHU Liège, Belgique.
Rev Med Liege. 2019 Apr;74(4):185-191.
EMPA-REG OUTCOME trial studied the cardiovascular safety of empagliflozin, a sodium-glucose cotransporter type 2 (SGLT2) inhibitor, compared to placebo, in patients with type 2 diabetes and high cardiovascular risk. It showed a significant reduction of major cardiovascular events (-14 %), cardiovascular mortality (-38 %), all-cause death (-32 %), hospitalisations for heart failure (-35 %) and progression of renal disease (-39 %). This article proposes an update, almost 4 years after the original publication, of recent post hoc analyses of this landmark study.
恩格列净心血管结局研究(EMPA-REG OUTCOME)试验,比较了钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂恩格列净与安慰剂,在2型糖尿病且心血管风险较高患者中的心血管安全性。结果显示,主要心血管事件显著减少(-14%),心血管死亡率降低(-38%),全因死亡率降低(-32%),因心力衰竭住院率降低(-35%),以及肾病进展率降低(-39%)。本文在该里程碑研究首次发表近4年后,对近期的事后分析进行了更新。