The metabolic model of heart failure: the role of sodium glucose co-transporter-2 (SGLT-2) inhibition
- PMID: 30483350
- PMCID: PMC6251384
- DOI: 10.7573/dic.212549
The metabolic model of heart failure: the role of sodium glucose co-transporter-2 (SGLT-2) inhibition
Abstract
Heart failure (HF) is one of the leading causes of hospital readmissions and health care expenditures. With a vast degree of advancements in the clinical approach and diagnosis, its management protocol is limited in terms of enhancing quality of life and prognosis. Type 2 diabetes mellitus (T2DM) is considered as one of the commonly associated comorbid conditions in the HF population. The understanding of the molecular and metabolic models of HF has led to the utilization of therapeutic goals of T2DM in improving HF-related complications. In the recent era, SGLT-2 inhibitors have shown success in decreasing cardiovascular mortality in the T2DM population. This article will help the reviewer to comprehend the pathophysiology of HF and the potential role of SGLT-2 inhibitors in the management algorithm of HF and its associated risk factors in T2DM.
Keywords: SGLT-2 inhibitors; heart failure.
Conflict of interest statement
Disclosure and potential conflicts of interest: The authors declare that there is no conflict of interest in preparing this article. The International Committee of Medical Journal Editors (ICMJE) Potential Conflicts of Interests form for the authors are available for download at http://www.drugsincontext.com/wp-content/uploads/2018/10/dic.212549-COI.pdf
Figures
Similar articles
-
The role of sodium glucose cotransporter-2 (SGLT-2) inhibitors in heart failure and chronic kidney disease in type 2 diabetes.Curr Med Res Opin. 2019 Jul;35(7):1283-1295. doi: 10.1080/03007995.2019.1576479. Epub 2019 Feb 15. Curr Med Res Opin. 2019. PMID: 30767677 Review.
-
Sodium-glucose Cotransporter 2 Inhibitors: The Impact on Development and Progression of Heart Failure.Cardiovasc Hematol Disord Drug Targets. 2018;18(2):127-133. doi: 10.2174/1871529X18666180405102658. Cardiovasc Hematol Disord Drug Targets. 2018. PMID: 29618313
-
The effect of SGLT-2 inhibitors on cardiorespiratory fitness capacity: A systematic review and meta-analysis.Front Physiol. 2023 Jan 10;13:1081920. doi: 10.3389/fphys.2022.1081920. eCollection 2022. Front Physiol. 2023. PMID: 36703925 Free PMC article.
-
Physiological monitoring of the complex multimorbid heart failure patient - diabetes and monitoring glucose control.Eur Heart J Suppl. 2019 Dec;21(Suppl M):M20-M24. doi: 10.1093/eurheartj/suz219. Epub 2019 Dec 31. Eur Heart J Suppl. 2019. PMID: 31908611 Free PMC article.
-
Association between sodium glucose co-transporter 2 inhibitors and a reduced risk of heart failure in patients with type 2 diabetes mellitus: a real-world nationwide population-based cohort study.Cardiovasc Diabetol. 2018 Jun 23;17(1):91. doi: 10.1186/s12933-018-0737-5. Cardiovasc Diabetol. 2018. PMID: 29935543 Free PMC article.
References
-
- Yancy CW, Jessup M, Bozkurt B, et al. ACCF/AHA guideline for the management of heart failure: a report of the American College Of Cardiology Foundation/American Heart Association task force on practice guidelines. J Am Coll Cardiol. 2013;62(16):e147–239. http://dx.doi.org/10.1016/j.jacc.2013.05.019 - DOI - PubMed
-
- McMurray JJ, Adamopoulos S, Anker SD, et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: the task force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European society of cardiology. Developed in collaboration with the heart failure association (HFA) of the esc. Eur J Heart Failure. 2012;14(8):803–869. http://dx.doi.org/10.1093/eurjhf/hfs105 - DOI - PubMed
-
- Lindenfeld J, Albert NM, Boehmer JP, et al. HFSA 2010 comprehensive heart failure practice guideline. J Card Fail. 2010;16(6):e1–194. http://dx.doi.org/10.1016/j.cardfail.2010.04.004 - DOI - PubMed
-
- Bianucci R, Loynes RD, Sutherland ML, et al. Forensic analysis reveals acute decompensation of chronic heart failure in a 3500-year-old Egyptian dignitary. J Forensic Sci. 2016;61(5):1378–1381. http://dx.doi.org/10.1111/1556-4029.13138 - DOI - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Research Materials
Miscellaneous