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Empagliflozin in Heart Failure with a Preserved Ejection Fraction.恩格列净治疗射血分数保留的心力衰竭。
N Engl J Med. 2021 Oct 14;385(16):1451-1461. doi: 10.1056/NEJMoa2107038. Epub 2021 Aug 27.
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2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure.2021年欧洲心脏病学会急性和慢性心力衰竭诊断与治疗指南。
Eur Heart J. 2021 Sep 21;42(36):3599-3726. doi: 10.1093/eurheartj/ehab368.
3
Association between sodium-glucose cotransporter-2 inhibitors and risk of sudden cardiac death or ventricular arrhythmias: a meta-analysis of randomized controlled trials.钠-葡萄糖共转运蛋白 2 抑制剂与心源性猝死或室性心律失常风险的关系:随机对照试验的荟萃分析。
Europace. 2022 Jan 4;24(1):20-30. doi: 10.1093/europace/euab177.
4
Dapagliflozin in heart failure with preserved and mildly reduced ejection fraction: rationale and design of the DELIVER trial.达格列净治疗射血分数保留和轻度降低的心衰:DELIVER 试验的原理和设计。
Eur J Heart Fail. 2021 Jul;23(7):1217-1225. doi: 10.1002/ejhf.2249. Epub 2021 Jun 9.
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Sodium-glucose cotransporter 2 inhibitors (SGLT2i) and cardiac arrhythmias: a systematic review and meta-analysis.钠-葡萄糖共转运蛋白 2 抑制剂(SGLT2i)与心律失常:系统评价和荟萃分析。
Cardiovasc Diabetol. 2021 May 7;20(1):100. doi: 10.1186/s12933-021-01293-8.
6
Protective Effects of Sodium-Glucose Transporter 2 Inhibitors on Atrial Fibrillation and Atrial Flutter: A Systematic Review and Meta- Analysis of Randomized Placebo-Controlled Trials.钠-葡萄糖共转运蛋白 2 抑制剂对心房颤动和房扑的保护作用:随机安慰剂对照试验的系统评价和荟萃分析。
Front Endocrinol (Lausanne). 2021 Mar 19;12:619586. doi: 10.3389/fendo.2021.619586. eCollection 2021.
7
Sotagliflozin in Patients with Diabetes and Recent Worsening Heart Failure.索格列净治疗伴有近期恶化心力衰竭的糖尿病患者。
N Engl J Med. 2021 Jan 14;384(2):117-128. doi: 10.1056/NEJMoa2030183. Epub 2020 Nov 16.
8
Dapagliflozin decreases ambulatory central blood pressure and pulse wave velocity in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled clinical trial.达格列净可降低 2 型糖尿病患者的动态中心血压和脉搏波速度:一项随机、双盲、安慰剂对照的临床试验。
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Sodium-glucose co-transporter-2 inhibitors and atrial fibrillation in the cardiovascular and renal outcome trials.钠-葡萄糖协同转运蛋白 2 抑制剂与心血管和肾脏结局试验中的心房颤动。
Diabetes Obes Metab. 2021 Jan;23(1):276-280. doi: 10.1111/dom.14211. Epub 2020 Oct 19.
10
Effects of empagliflozin versus placebo on cardiac sympathetic activity in acute myocardial infarction patients with type 2 diabetes mellitus: the EMBODY trial.恩格列净对比安慰剂对 2 型糖尿病急性心肌梗死患者心脏自主神经活性的影响:EMBODY 试验。
Cardiovasc Diabetol. 2020 Sep 25;19(1):148. doi: 10.1186/s12933-020-01127-z.

SGLT2 抑制剂的心血管获益评价。

A review of cardiovascular benefits of SGLT2 inhibitors.

机构信息

First Department of Clinical Medicine, Shanxi Medical University, Key Laboratory of Cellular Physiology at Shanxi Medical University, Ministry of Education, Shanxi Province, China.

Department of Cardiology, The 1st Hospital of Shanxi Medical University, Key Laboratory of Cellular Physiology at Shanxi Medical University, Ministry of Education, Shanxi Province, China.

出版信息

Medicine (Baltimore). 2022 Sep 9;101(36):e30310. doi: 10.1097/MD.0000000000030310.

DOI:10.1097/MD.0000000000030310
PMID:36086785
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10980435/
Abstract

Sodium-glucose cotransporter 2 inhibitor (SGLT2I) is a new type of hypoglycemic drug that targets the kidney. As research continues to advance on this topic, it has been found that SGLT2I has multiple protective effects, such as hypoglycemic, cardio-renal protective, antihypertensive, and lipid-lowering effects. This review discusses the current concepts and possible mechanisms of SGLT2I in the treatment of heart failure, myocardial infarction, hypertension, cardiomyopathy and arrhythmia to provide a reference for clinicians to use drugs more reasonably and scientifically.

摘要

钠-葡萄糖共转运蛋白 2 抑制剂(SGLT2I)是一种针对肾脏的新型降糖药物。随着对该领域研究的不断深入,发现 SGLT2I 具有多种保护作用,如降糖、心肾保护、降压和调脂作用。本文就 SGLT2I 治疗心力衰竭、心肌梗死、高血压、心肌病和心律失常的相关新概念和可能机制进行综述,为临床医生更合理、更科学地使用药物提供参考。