Sodium-Glucose Co-Transporter 2 (SGLT-2) Inhibitors in Heart Failure: A Comprehensive Review of Literature

Type 2 diabetes mellitus (T2DM) is highly prevalent in the modern world due to a rise in obesity. Diabetes can give rise to many secondary ailments among which heart failure is the most common. Heart failure brings about confirmatory changes in the myocardium which shifts the metabolism from gluco...

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Main Authors: Asfandyar Khattak, Hira Zaffar Khattak
Format: Article
Language:English
Published: Liaquat National Hospital and Medical College 2024-04-01
Series:Liaquat National Journal of Primary Care
Subjects:
Online Access:https://journals.lnh.edu.pk/lnjpc/pdf/89d9d8a8-970c-4a3a-bb32-d5388457e892.pdf
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author Asfandyar Khattak
Hira Zaffar Khattak
author_facet Asfandyar Khattak
Hira Zaffar Khattak
author_sort Asfandyar Khattak
collection DOAJ
description Type 2 diabetes mellitus (T2DM) is highly prevalent in the modern world due to a rise in obesity. Diabetes can give rise to many secondary ailments among which heart failure is the most common. Heart failure brings about confirmatory changes in the myocardium which shifts the metabolism from glucose to fatty acid which further impairs cardiac function. Among the antidiabetic agents, SGLT2 inhibitors such as empagliflozin and dapagliflozin have decreased heart failure exacerbations even in the absence of diabetes. We employed search engines such as Google Scholar, MEDLINE, and Euro PMC for our article search. The keywords such as heart failure, SGLT2 inhibitors, and diabetes were used. Duplicate studies were excluded during our analysis. According to the literature, several theories have been put forward on the mechanisms through which SGLT2 inhibitors can work in heart failure. Mainly they work by lowering blood pressure, improvement of cardiac energy metabolism, anti-inflammatory effect, protecting from cardiac remodeling, diuresis, and natriuretic effects.
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spelling doaj.art-adafd35913354431b44684b0817555502024-01-18T07:48:01ZengLiaquat National Hospital and Medical CollegeLiaquat National Journal of Primary Care2707-35212708-91342024-04-0161606510.37184/lnjpc.2707-3521.6.1Sodium-Glucose Co-Transporter 2 (SGLT-2) Inhibitors in Heart Failure: A Comprehensive Review of LiteratureAsfandyar Khattak0Hira Zaffar Khattak1Department of Medicine, Khyber Medical University, Peshawar, PakistanDepartment of Dentistry, Peshawar Dental College, Peshawar, PakistanType 2 diabetes mellitus (T2DM) is highly prevalent in the modern world due to a rise in obesity. Diabetes can give rise to many secondary ailments among which heart failure is the most common. Heart failure brings about confirmatory changes in the myocardium which shifts the metabolism from glucose to fatty acid which further impairs cardiac function. Among the antidiabetic agents, SGLT2 inhibitors such as empagliflozin and dapagliflozin have decreased heart failure exacerbations even in the absence of diabetes. We employed search engines such as Google Scholar, MEDLINE, and Euro PMC for our article search. The keywords such as heart failure, SGLT2 inhibitors, and diabetes were used. Duplicate studies were excluded during our analysis. According to the literature, several theories have been put forward on the mechanisms through which SGLT2 inhibitors can work in heart failure. Mainly they work by lowering blood pressure, improvement of cardiac energy metabolism, anti-inflammatory effect, protecting from cardiac remodeling, diuresis, and natriuretic effects.https://journals.lnh.edu.pk/lnjpc/pdf/89d9d8a8-970c-4a3a-bb32-d5388457e892.pdfheart failuresodium-glucose transporter 2 inhibitorsdiabetes mellitusmetabolism
spellingShingle Asfandyar Khattak
Hira Zaffar Khattak
Sodium-Glucose Co-Transporter 2 (SGLT-2) Inhibitors in Heart Failure: A Comprehensive Review of Literature
Liaquat National Journal of Primary Care
heart failure
sodium-glucose transporter 2 inhibitors
diabetes mellitus
metabolism
title Sodium-Glucose Co-Transporter 2 (SGLT-2) Inhibitors in Heart Failure: A Comprehensive Review of Literature
title_full Sodium-Glucose Co-Transporter 2 (SGLT-2) Inhibitors in Heart Failure: A Comprehensive Review of Literature
title_fullStr Sodium-Glucose Co-Transporter 2 (SGLT-2) Inhibitors in Heart Failure: A Comprehensive Review of Literature
title_full_unstemmed Sodium-Glucose Co-Transporter 2 (SGLT-2) Inhibitors in Heart Failure: A Comprehensive Review of Literature
title_short Sodium-Glucose Co-Transporter 2 (SGLT-2) Inhibitors in Heart Failure: A Comprehensive Review of Literature
title_sort sodium glucose co transporter 2 sglt 2 inhibitors in heart failure a comprehensive review of literature
topic heart failure
sodium-glucose transporter 2 inhibitors
diabetes mellitus
metabolism
url https://journals.lnh.edu.pk/lnjpc/pdf/89d9d8a8-970c-4a3a-bb32-d5388457e892.pdf
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