PMID- 28606344 OWN - NLM STAT- MEDLINE DCOM- 20170803 LR - 20191210 IS - 1879-1913 (Electronic) IS - 0002-9149 (Linking) VI - 120 IP - 1S DP - 2017 Jul 1 TI - EMPA-REG OUTCOME: The Endocrinologist's Point of View. PG - S48-S52 LID - S0002-9149(17)30800-7 [pii] LID - 10.1016/j.amjcard.2017.05.010 [doi] AB - For many years, it was widely accepted that control of plasma lipids and blood pressure could lower macrovascular risk in patients with type 2 diabetes mellitus (T2DM), whereas the benefits of lowering plasma glucose were largely limited to improvements in microvascular complications. The Empagliflozin Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients-Removing Excess Glucose (EMPA-REG OUTCOME) study demonstrated for the first time that a glucose-lowering agent, the sodium glucose cotransporter 2 (SGLT2) inhibitor empagliflozin, could reduce major adverse cardiovascular events, cardiovascular mortality, hospitalization for heart failure, and overall mortality when given in addition to standard care in patients with T2DM at high cardiovascular risk. These results were entirely unexpected and have led to much speculation regarding the potential mechanisms underlying cardiovascular benefits. In this review, the results of EMPA-REG OUTCOME are summarized and put into perspective for the endocrinologist who is treating patients with T2DM and cardiovascular disease. CI - Copyright (c) 2017 The Author. Published by Elsevier Inc. All rights reserved. FAU - Perreault, Leigh AU - Perreault L AD - University of Colorado Anschutz Medical Campus, Aurora. Electronic address: leigh.perreault@ucdenver.edu. LA - eng PT - Journal Article PT - Review DEP - 20170517 PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 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 - Diabetes Mellitus, Type 2/complications/*drug therapy/metabolism/physiopathology MH - Diabetic Angiopathies/*prevention & control MH - Glucosides/*therapeutic use MH - Humans MH - Hypoglycemic Agents/*therapeutic use MH - Risk Factors MH - Sodium-Glucose Transporter 2 MH - *Sodium-Glucose Transporter 2 Inhibitors EDAT- 2017/06/14 06:00 MHDA- 2017/08/05 06:00 CRDT- 2017/06/14 06:00 PHST- 2017/06/14 06:00 [entrez] PHST- 2017/06/14 06:00 [pubmed] PHST- 2017/08/05 06:00 [medline] AID - S0002-9149(17)30800-7 [pii] AID - 10.1016/j.amjcard.2017.05.010 [doi] PST - ppublish SO - Am J Cardiol. 2017 Jul 1;120(1S):S48-S52. doi: 10.1016/j.amjcard.2017.05.010. Epub 2017 May 17.