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Published in: Current Cardiology Reports 8/2018

01-08-2018 | Ischemic Heart Disease (D Mukherjee, Section Editor)

Cardiovascular and Renal Outcomes of Newer Anti-Diabetic Medications in High-Risk Patients

Authors: Lima Lawrence, Venu Menon, Sangeeta Kashyap

Published in: Current Cardiology Reports | Issue 8/2018

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Abstract

Purpose of Review

We review the cardiovascular and renal outcomes and safety of newer anti-diabetic medications in high-risk patients. We examine the outcomes of the IRIS, EMPA-REG OUTCOME, CANVAS, LEADER, SAVOR-TIMI 53, and EXAMINE trials demonstrating the cardiovascular and renal benefits of thiazolidinediones, SGLT2 inhibitors, GLP-1 agonists, and DPP-4 inhibitors.

Recent Findings

Diabetes mellitus is a leading risk factor for cardiovascular disease with rising prevalence and disease burden. The microvascular and macrovascular complications of diabetes are well-recognized and include increased risk of cardiovascular disease, myocardial infarction, and stroke. Newer diabetes medications have demonstrated significant cerebrovascular, cardiovascular, renal, and mortality benefits in high risk patients with diabetes. In addition to their glucose-lowering effects, the thiazolidinedione pioglitazone, SGLT2 inhibitors, GLP-1 agonist, and DPP-4 inhibitors have demonstrated significant cerebrovascular, cardiovascular, renal, and mortality effects.

Summary

The outcomes and safety data of newer diabetes medications from recent trials demonstrate cardiovascular and mortality effects with significant implications for clinical practice.
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Metadata
Title
Cardiovascular and Renal Outcomes of Newer Anti-Diabetic Medications in High-Risk Patients
Authors
Lima Lawrence
Venu Menon
Sangeeta Kashyap
Publication date
01-08-2018
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 8/2018
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-018-1005-8

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