PMID- 34042339 OWN - NLM STAT- MEDLINE DCOM- 20210528 LR - 20210528 IS - 1660-9379 (Print) IS - 1660-9379 (Linking) VI - 17 IP - 740 DP - 2021 May 26 TI - [Practical considerations in the use of SGLT2 inhibitors in cardiovascular diseases]. PG - 1034-1038 AB - Sodium-glucose cotransporter 2 (SGLT2) inhibitors are a class of drugs which offer cardiovascular (CV) and renal benefits. They are currently indicated as first-line treatments of type 2 diabetes mellitus (T2DM) in patients with CV disease, high CV risk, renal disease, or heart failure with reduced ejection fraction (HFrEF). Two randomized clinical trials have shown the benefits of dapagliflozin and empagliflozin in patients with HFrEF, regardless of the presence of T2DM. Despite an overall favorable safety profile, attention has to be paid to adverse events, such as an increased risk of euglycemic diabetic ketoacidosis and genital mycotic infections. We present an up-to-date narrative literature review of the physiological mechanisms of action, current indications, and side effects of SGLT2 inhibitors. FAU - Lu, Henri AU - Lu H AD - Service de cardiologie, CHUV, 1011 Lausanne. FAU - Hullin, Roger AU - Hullin R AD - Service de cardiologie, CHUV, 1011 Lausanne. FAU - Yerly, Patrick AU - Yerly P AD - Service de cardiologie, CHUV, 1011 Lausanne. FAU - Meyer, Philippe AU - Meyer P AD - Service de cardiologie, HUG, 1211 Geneve 14. FAU - Kosinski, Christophe AU - Kosinski C AD - Service d'endocrinologie, diabetologie et metabolisme, CHUV, 1011 Lausanne. FAU - Daux, Aurelien AU - Daux A AD - Service de cardiologie, CHUV, 1011 Lausanne. LA - fre PT - Journal Article PT - Review TT - Considerations pratiques pour l'utilisation des inhibiteurs du SGLT2 dans les maladies cardiovasculaires. PL - Switzerland TA - Rev Med Suisse JT - Revue medicale suisse JID - 101219148 RN - 0 (Benzhydryl Compounds) RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) SB - IM MH - Benzhydryl Compounds/adverse effects MH - *Cardiovascular Diseases/chemically induced MH - *Diabetes Mellitus, Type 2/drug therapy MH - *Heart Failure MH - Humans MH - Hypoglycemic Agents/adverse effects MH - *Sodium-Glucose Transporter 2 Inhibitors/therapeutic use MH - Stroke Volume COIS- Le Dr Philippe Meyer a participe a des presentations et des conseils consultatifs organises par Bayer dont les honoraires ont ete integralement verses a la Fondation pour la recherche de la cardiologie universitaire de Geneve (GEcor). Les autres auteurs n'ont declare aucun conflit d'interets en relation avec cet article. EDAT- 2021/05/28 06:00 MHDA- 2021/05/29 06:00 CRDT- 2021/05/27 09:05 PHST- 2021/05/27 09:05 [entrez] PHST- 2021/05/28 06:00 [pubmed] PHST- 2021/05/29 06:00 [medline] AID - RMS0740-006 [pii] PST - ppublish SO - Rev Med Suisse. 2021 May 26;17(740):1034-1038.