Sodium-glucose cotransporter-2 inhibitors (SGLT2is) improve cardiovascular and renal outcomes in patients with cardiovascular disease, chronic kidney disease (CKD), and heart failure (HF), regardless of type 2 diabetes (T2D) status. Their benefits extend beyond glucose reduction, encompassing effects on intraglomerular pressure, preload/afterload, potassium levels, left ventricular function, sympathetic nervous system activity, hematologic parameters, uric acid levels, and potentially anti-inflammatory properties. This review explores the multifaceted mechanisms underlying these cardiorenal benefits.
Publisher
Journal of Clinical Medicine
Published On
Apr 12, 2023
Authors
A Rastogi, James L Januzzi Jr
Tags
SGLT2 inhibitors
cardiovascular diseases
chronic kidney disease
heart failure
type 2 diabetes
mechanisms
renal outcomes
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