SGLT-2 Inhibitors in Heart Failure: Guide for Prescribing and Future Perspectives

被引:18
作者
Garla, Vishnu Vardhan [1 ,2 ]
Butler, Javed [3 ]
Lien, Lillian F. [1 ]
机构
[1] Univ Mississippi, Med Ctr, Endocrinol Metab & Diabet, Dept Internal Med, Jackson, MS 39216 USA
[2] Univ Mississippi, Med Ctr, Mississippi Ctr Clin & Translat Res, Jackson, MS 39216 USA
[3] Univ Mississippi, Dept Internal Med, Med Ctr, Jackson, MS USA
关键词
Sodium-glucose cotransporter-2 inhibitors; Heart failure; Hospitalization for heart failure; Major adverse cardiovascular events; Euglycemic diabetic ketoacidosis; COTRANSPORTER; 2; INHIBITOR; TYPE-2; DIABETES-MELLITUS; SODIUM; EMPAGLIFLOZIN; CANAGLIFLOZIN; INFECTIONS; MORTALITY; SAFETY;
D O I
10.1007/s11886-021-01486-3
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Purpose of Review Heart failure is responsible for a significant part of diabetes-associated cardiovascular mortality and morbidity. Sodium-glucose cotransporter-2 (SGLT-2) inhibitors are novel agents approved for the treatment of diabetes mellitus; in recent clinical trials, these agents have shown a significant reduction in cardiovascular death and hospitalization secondary to heart failure. Recent Findings Clinical trials with specific heart failure outcomes have shown the benefit of SGLT-2 inhibitors in reducing the mortality and morbidity associated with heart failure. The guidelines for the management of diabetes mellitus recommend the preferential use of SGLT-2 inhibitors in patients with a history of cardiovascular disease. SGLT-2 inhibitors are potential game changers in the treatment of heart failure. Guidelines for prescription of these agents help assess risk-benefit analysis and personalize treatment for maximal benefit.
引用
收藏
页数:9
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