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恩格列净在心肌梗死后的应用。

The Use of Empagliflozin Post Myocardial Infarction.

作者信息

Ravendran Kapilraj, Madouros Nikolaos, Yoztyurk Edzhem, Wilson Aishwarya, Jeejo Maria J, Camelio Monica E, Sinha Akatya, George Ananya, Rai Mriganka, Malik Hussain K

机构信息

General Surgery, East Sussex Healthcare NHS Trust, Brighton and Hove, GBR.

Medicine, Gradscape, London, GBR.

出版信息

Cureus. 2023 Jun 18;15(6):e40602. doi: 10.7759/cureus.40602. eCollection 2023 Jun.

Abstract

Empagliflozin is a sodium-glucose cotransporter 2 (SGLT2) inhibitor that is mainly used for the treatment of type 2 diabetes mellitus. The study's objective was to assess empagliflozin's effects and impacts on post-myocardial patients to highlight its worth in comparison to alternative therapies. Only studies evaluating the effects of empagliflozin on individuals who have undergone a myocardial infarction (MI) are included in this review of the literature, which employed PubMed, Google Scholar, and Embase. To compare the advantages of empagliflozin for individuals who have recently experienced a myocardial infarction, abstracts from pertinent articles were retrieved, and complete publications were reviewed. A total of four articles were reviewed, which showed that in patients who suffered from a recent MI, empagliflozin caused a significant decrease in N-terminal pro-brain natriuretic peptide (NT-proBNP). Additionally, it was shown that these individuals had better echocardiographic results for both structural and functional metrics. With studies showing a significantly larger median NT-proBNP decrease with empagliflozin compared to placebo among patients hospitalised with an acute big MI when empagliflozin was started early and administered in addition to the post-MI care suggested by guidelines, it is safe to say that the benefits outweigh the risks. There are currently larger double-blind trials in progress to prove the hypothesis of the benefits of empagliflozin for post-MI patients.

摘要

恩格列净是一种钠-葡萄糖协同转运蛋白2(SGLT2)抑制剂,主要用于治疗2型糖尿病。该研究的目的是评估恩格列净对心肌梗死后患者的影响,以突出其与其他疗法相比的价值。本综述文献仅纳入了评估恩格列净对心肌梗死(MI)患者影响的研究,检索了PubMed、谷歌学术和Embase。为了比较恩格列净对近期发生心肌梗死患者的优势,检索了相关文章的摘要,并对完整出版物进行了综述。共审查了4篇文章,结果显示,在近期发生心肌梗死的患者中,恩格列净可使N末端脑钠肽前体(NT-proBNP)显著降低。此外,这些患者在结构和功能指标方面的超声心动图结果更好。有研究表明,在急性大面积心肌梗死住院患者中,与安慰剂相比,早期开始使用恩格列净并在指南建议的心肌梗死后护理基础上额外给药,NT-proBNP的中位数下降幅度显著更大,可以说其益处大于风险。目前正在进行更大规模的双盲试验,以证明恩格列净对心肌梗死后患者有益的假设。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f140/10353858/3eb4d211aaa6/cureus-0015-00000040602-i01.jpg

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