PMID- 31909368 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220412 IS - 2508-7576 (Electronic) IS - 2508-6235 (Print) IS - 2508-6235 (Linking) VI - 28 IP - 4 DP - 2019 Dec TI - Effect of Sodium-Glucose Cotransporter-2 Inhibitors versus Dipeptidyl Peptidase 4 Inhibitors on Cardiovascular Function in Patients with Type 2 Diabetes Mellitus and Coronary Artery Disease. PG - 254-261 LID - 10.7570/jomes.2019.28.4.254 [doi] AB - BACKGROUND: Randomized controlled trials demonstrated lowering risks of cardiovascular events with sodium-glucose cotransporter-2 (SGLT2) inhibitors in patients with type 2 diabetes mellitus (T2DM) and high cardiovascular risk. We analyzed the effects of cardiovascular function on SGLT2 inhibitors compared with dipeptidyl peptidase-4 (DPP4) inhibitors in T2DM with atherosclerotic cardiovascular disease (ASCVD) or heart failure (HF). METHODS: This is a retrospective, observational, single center study. Data from 89 patients with ASCVD or HF from January 2015 to February 2018 were analyzed regarding the effect of SGLT2 inhibitors and DPP4 inhibitors. Cardiovascular function was assessed by 2-D echocardiography and N-terminal prohormone of brain natriuretic peptide (NT-pro BNP). RESULTS: A total of 89 patients with T2DM were considered in two groups of SGLT2 inhibitors (n=41) and DPP4 inhibitors (n=48). The mean follow-up period was 2 years, with a total of 89 patient-years. Despite no significant change in systolic function, SGLT2 inhibitors improved cardiovascular function, as demonstrated by a reduced left ventricular ejection fraction less than 40%, ratio of mitral peak velocity of early filling velocity to early diastolic mitral annular velocity, ratio of early to late ventricular filling velocities, and NT-pro BNP compared with the DPP4 inhibitor group. CONCLUSION: SGLT2 inhibitors improve cardiovascular function in T2DM with coronary artery disease compared to DPP4 inhibitors. CI - Copyright (c) 2019 Korean Society for the Study of Obesity. FAU - Lee, Sook Jung AU - Lee SJ AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. FAU - Lee, Kook Hyung AU - Lee KH AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. FAU - Oh, Hyun Geong AU - Oh HG AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. FAU - Seo, Hye Ji AU - Seo HJ AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. FAU - Jeong, Soo Jin AU - Jeong SJ AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. FAU - Kim, Chong Hwa AU - Kim CH AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Sejong General Hospital, Bucheon, Korea. LA - eng PT - Journal Article DEP - 20191230 PL - Korea (South) TA - J Obes Metab Syndr JT - Journal of obesity & metabolic syndrome JID - 101704724 PMC - PMC6939702 OTO - NOTNLM OT - Coronary artery disease OT - Diabetes Mellitus OT - Dipeptidyl peptidase-4 inhibitor OT - Sodium-glucose cotransporter-2 COIS- CONFLICTS OF INTEREST The authors declare no conflict of interest. EDAT- 2020/01/08 06:00 MHDA- 2020/01/08 06:01 PMCR- 2019/12/01 CRDT- 2020/01/08 06:00 PHST- 2019/10/02 00:00 [received] PHST- 2019/10/31 00:00 [revised] PHST- 2019/11/28 00:00 [accepted] PHST- 2020/01/08 06:00 [entrez] PHST- 2020/01/08 06:00 [pubmed] PHST- 2020/01/08 06:01 [medline] PHST- 2019/12/01 00:00 [pmc-release] AID - jomes-28-4-254 [pii] AID - 10.7570/jomes.2019.28.4.254 [doi] PST - ppublish SO - J Obes Metab Syndr. 2019 Dec;28(4):254-261. doi: 10.7570/jomes.2019.28.4.254. Epub 2019 Dec 30.