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Cardiovascular Risk Reduction in Type 2 Diabetes: Therapeutic Potential of Dapagliflozin

机译:2型糖尿病的心血管风险降低:Dapagliflozin的治疗潜力

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Sodium-glucose co-transporter 2 (SGLT-2) inhibitors are currently used as second-line therapy for treatment of patients with type 2 diabetes mellitus (T2DM). Based on the results from dedicated cardiovascular outcome trials (CVOTs), current guidelines suggest the use of SGLT-2 inhibitors for patients with T2DM and established atherosclerotic cardiovascular disease (ASCVD) or heart failure. The cardiovascular safety profile of dapagliflozin, a novel SGLT-2 inhibitor, has been recently explored in large CVOTs. Treatment with dapagliflozin reduced the risk of the composite outcome of cardiovascular mortality or hospitalization for heart failure compared with placebo, both among patients with T2DM who had or were at risk of ASCVD, as well as among patients with heart failure and a reduced ejection fraction. The observed cardiovascular benefit was mainly attributed to the lower rate of hospitalization for heart failure. Additionally, treatment with dapagliflozin was associated with a lower rate of renal adverse events. The safety and efficacy of dapagliflozin on glycemic and non-glycemic endpoints has been also well established in a series of other clinical trials and real-word studies. The aim of the present review is to summarize the available evidence regarding the cardiovascular profile of dapagliflozin in patients with T2DM. Overall, by reducing the rate of hospitalization for heart failure and ameliorating renal adverse events, dapagliflozin is a valuable option for the management of patients with T2DM and multiple cardiovascular risk factors.
机译:葡萄糖共转运蛋白2(SGLT-2)抑制剂目前用作患有2型糖尿病(T2DM)的患者的二线治疗。基于专用心血管成果试验(CVOTS)的结果,目前的指导方针表明对T2DM患者的SGLT-2抑制剂和建立动脉粥样硬脑病(ASCVD)或心力衰竭的患者使用。最近在大型CVOTS中探讨了Dapagliflozin的心血管安全性曲线,这是一种新的SGLT-2抑制剂。与Dapagliflozin的治疗降低了心血管死亡率或心力衰竭住院的综合结果的风险,与安慰剂相比,T2DM的患者,患有ASCVD的患者,以及心力衰竭的患者和降低的喷射部分。观察到的心血管益处主要归因于心力衰竭的较低住院率。另外,用Dapagliflozin治疗与肾不良事件的较低速率相关。 Dapagliflozin对血糖和非血糖终点的安全性和疗效也在一系列其他临床试验和实际研究中得到了很好的成立。本综述的目的是总结有关Dapagliflozin患者T2DM患者的心血管外形的可用证据。总体而言,通过减少心力衰竭的住院和改善肾不良事件的率,Dapagliflozin是一种有价值的选择,用于管理T2DM和多种心血管危险因素。

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