The role of SGLT2i in attenuating residual cardiovascular risk through blood pressure-lowering: mechanistic insights and perspectives.

The role of SGLT2i in attenuating residual cardiovascular risk through blood pressure-lowering: mechanistic insights and perspectives.
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DOI:
10.3389/fcdhc.2023.1243530
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发表时间:
2023
期刊:
Frontiers in clinical diabetes and healthcare
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其他
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钠葡萄糖协同转运蛋白2抑制剂(SGLT 2)已越来越多地被视为解决心血管残余风险的有希望的靶点。既往试验表明,SGLT 2i不仅可促进降糖,还可改善内皮功能障碍、肥胖、液体超负荷和胰岛素敏感性,从而促进与其心肾获益相关的血流动力学变化。在此修订SGLT 2i对血压的作用机制及其在预防心血管事件中的潜在作用。
Sodium glucose cotransporter 2 inhibitors (SGLT2) have been increasingly pursued as a promising target for addressing residual cardiovascular risk. Prior trials demonstrated that SGLT2i not only promotes glucose-lowering, but also improves endothelial dysfunction, adiposity, fluid overload, and insulin sensitivity thus contributing to hemodynamic changes implicated in its cardiorenal benefits. The mechanisms in the effect of SGLT2i on blood pressure and their potential role in preventing cardiovascular events are hereby revised.
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