PMID- 28526181 OWN - NLM STAT- MEDLINE DCOM- 20170703 LR - 20191210 IS - 1555-7162 (Electronic) IS - 0002-9343 (Linking) VI - 130 IP - 6S DP - 2017 Jun TI - EMPA-REG OUTCOME: The Cardiologist's Point of View. PG - S57-S62 LID - S0002-9343(17)30459-X [pii] LID - 10.1016/j.amjmed.2017.04.006 [doi] AB - Cardiologists could view empagliflozin as a cardiovascular drug that also has a beneficial effect on reducing hyperglycemia in patients with type 2 diabetes mellitus (T2DM). The effects of empagliflozin in lowering the risk of cardiovascular death and hospitalization for heart failure in T2DM patients with high cardiovascular risk during the recent Empagliflozin Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients-Removing Excess Glucose (EMPA-REG OUTCOME) trial may be explained principally in terms of changes to cardiovascular physiology; namely, by the potential ability of empagliflozin to reduce cardiac workload and myocardial oxygen consumption by lowering blood pressure, improving aortic compliance, and improving ventricular arterial coupling. These concepts and hypotheses are discussed in this report. CI - Copyright (c) 2017 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Pham, Son V AU - Pham SV AD - The University of Texas Health Science Center, San Antonio, Tex. FAU - Chilton, Robert AU - Chilton R AD - The University of Texas Health Science Center, San Antonio, Tex. Electronic address: chilton@uthscsa.edu. LA - eng PT - Journal Article PL - United States TA - Am J Med JT - The American journal of medicine JID - 0267200 RN - 0 (Benzhydryl Compounds) RN - 0 (Glucosides) RN - 0 (Hypoglycemic Agents) RN - 0 (SLC5A2 protein, human) RN - 0 (Sodium-Glucose Transporter 2) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - HDC1R2M35U (empagliflozin) SB - IM MH - Benzhydryl Compounds/*therapeutic use MH - Cardiovascular Diseases/*prevention & control MH - Cardiovascular Physiological Phenomena MH - Diabetes Mellitus, Type 2/complications/*drug therapy/physiopathology MH - Diabetic Angiopathies/*prevention & control MH - Glucosides/*therapeutic use MH - Hemodynamics/drug effects MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Myocardium/metabolism MH - Oxygen Consumption MH - Risk Factors MH - Sodium-Glucose Transporter 2 MH - *Sodium-Glucose Transporter 2 Inhibitors MH - Ventricular Function, Left OTO - NOTNLM OT - Cardiac workload OT - Cardiovascular outcomes OT - Empagliflozin OT - Myocardial oxygen consumption OT - Sodium glucose cotransporter 2 inhibitors EDAT- 2017/05/21 06:00 MHDA- 2017/07/04 06:00 CRDT- 2017/05/21 06:00 PHST- 2017/05/21 06:00 [pubmed] PHST- 2017/07/04 06:00 [medline] PHST- 2017/05/21 06:00 [entrez] AID - S0002-9343(17)30459-X [pii] AID - 10.1016/j.amjmed.2017.04.006 [doi] PST - ppublish SO - Am J Med. 2017 Jun;130(6S):S57-S62. doi: 10.1016/j.amjmed.2017.04.006.