霍志成, 张健. SGLT2抑制剂的心血管获益及治疗心力衰竭的研究综述[J]. 心脏杂志, 2021, 33(6): 666-669. DOI: 10.12125/j.chj.202012032
    引用本文: 霍志成, 张健. SGLT2抑制剂的心血管获益及治疗心力衰竭的研究综述[J]. 心脏杂志, 2021, 33(6): 666-669. DOI: 10.12125/j.chj.202012032
    Zhi-cheng HUO, Jian ZHANG. Research on cardiovascular benefits of SGLT2 inhibitors and their treatment of heart failure[J]. Chinese Heart Journal, 2021, 33(6): 666-669. DOI: 10.12125/j.chj.202012032
    Citation: Zhi-cheng HUO, Jian ZHANG. Research on cardiovascular benefits of SGLT2 inhibitors and their treatment of heart failure[J]. Chinese Heart Journal, 2021, 33(6): 666-669. DOI: 10.12125/j.chj.202012032

    SGLT2抑制剂的心血管获益及治疗心力衰竭的研究综述

    Research on cardiovascular benefits of SGLT2 inhibitors and their treatment of heart failure

    • 摘要: 心力衰竭(心衰)是多种心血管疾病的严重终末阶段,尽管其药物治疗已取得很大进步,但其预后仍不乐观,接受标准治疗的心衰患者仍存在高死亡和再住院风险。目前已有多项大型随机对照研究证实降糖药物钠-葡萄糖共转运蛋白2(SGLT2)抑制剂有明显的心血管获益,可以明显降低心衰患者心血管死亡率,降低心衰恶化风险,且无论是否伴有糖尿病均可获益。本文就SGLT2抑制剂的心血管获益和治疗心衰的研究和机制进行综述,期待SGLT2抑制剂可以打破传统心衰治疗的金三角(血管紧张素转化酶抑制剂/血管紧张素II受体拮抗剂/血管紧张素受体脑啡肽酶抑制剂、盐皮质激素受体拮抗剂和β受体阻滞剂),实现与金三角使用的四联治疗。

       

      Abstract: Heart failure (HF) is a serious terminal stage of many cardiovascular diseases. Although great progress has been made in drug treatment, the prognosis is still not optimistic. Patients with heart failure receiving standard treatment still have high risk of death and rehospitalization. At present, several large randomized controlled studies have confirmed that the hypoglycemic drug sodium glucose cotransporter 2 (SGLT2) inhibitors have significant cardiovascular benefits, which can significantly reduce the risk of cardiovascular death and deterioration of heart failure in patients with heart failure whether or not they are accompanied by diabetes mellitus. In this paper, the cardiovascular benefits of SGLT2 inhibitors and the research and mechanism of the treatment of heart failure are discussed. It is expected that SGLT2 inhibitors can break the golden triangle of traditional heart failure treatment and realize the quadruple therapy combined with ACEI/ARB/ARNI, MRA and beta blockers.

       

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