期刊
ENDOCRINOLOGY AND METABOLISM
卷 34, 期 2, 页码 106-116出版社
KOREAN ENDOCRINE SOC
DOI: 10.3803/EnM.2019.34.2.106
关键词
Diabetes mellitus; Heart failure; Hypoglycemic agents; Myocardial ischemia
资金
- Priority Research Centers Program through the National Research Foundation of Korea (NRF) - Ministry of Education [2010-0020224]
The prevalence of type 2 diabetes mellitus (T2DM), which is associated with cardiovascular morbidity and mortality, is increasing worldwide. Although there have been advances in diabetes treatments that reduce microvascular complications (nephropathy, neuropathy, retinopathy), many clinical studies have found that conventional oral hypoglycemic agents and glucose control alone failed to reduce cardiovascular disease. Thus, incretin-based therapies including glucagon-like peptide 1 (GLP-1) receptor agonists (RAs) and sodium-glucose cotransporter 2 inhibitors (SGLT-2Is) represent a new area of research, and may serve as novel therapeutics for treating hyperglycemia and modifying other cardiovascular risk factors. Recently, it has been confirmed that several drugs in these classes, including canagliflozin, empagliflozin, semaglutide, and liraglutide, are safe and possess cardioprotective effects. We review the most recent cardiovascular outcome trials on GLP-1RAs and SGLT-2Is, and discuss their implications for treating patients with T2DM in terms of protective effects against cardiovascular disease.
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