PMID- 35320057 OWN - NLM STAT- MEDLINE DCOM- 20220427 LR - 20220531 IS - 1744-8344 (Electronic) IS - 1477-9072 (Linking) VI - 20 IP - 3 DP - 2022 Mar TI - Beneficial cardiovascular and remodeling effects of SGLT 2 inhibitors. PG - 223-232 LID - 10.1080/14779072.2022.2057949 [doi] AB - INTRODUCTION: This paper intended to review the data regarding the multipotential effects of the sodium-glucose cotransporter 2 (SGLT 2) inhibitors, their cardiovascular effects, and their mechanism of action. AREAS COVERED: The SGLT2 inhibitors exert their beneficial antidiabetic and cardioprotective effects through increased glucose excretion from the kidneys, blood pressure and weight lowering, vasodilation and other potential beneficial effects. They have been used for the treatment of patients with type 2 diabetes mellitus (T2DM) as well as in patients with cardiovascular disease (CVD), coronary artery disease (CAD),and heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF). To get a better understanding of their mechanism of action for their multiple cardiovascular protective effects, a Medline search of the English language literature was conducted between 2015 and February 2022 and 46 pertinent papers were selected. EXPERT OPINION: The analysis of data clearly demonstrated that the use of the SGLT2 inhibitors besides their antidiabetic effects, provide additional protection against CVD, CAD, and HFrEF and HFpEF, and death, but not stroke, in both diabetic and non-diabetic patients. Therefore, they should be preferably used for the treatment of patients with T2DM with preexisting CVD, CAD, and HFrEF and HFpEF. FAU - Chrysant, Steven G AU - Chrysant SG AD - Department of Cardiology, University of Oklahoma Health Sciences Center, Oklahoma City, USA. FAU - Chrysant, George S AU - Chrysant GS AD - Department of Cardiology, INTEGRIS Baptist Medical Center, Oklahoma City, USA. LA - eng PT - Journal Article PT - Review DEP - 20220420 PL - England TA - Expert Rev Cardiovasc Ther JT - Expert review of cardiovascular therapy JID - 101182328 RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) RN - IY9XDZ35W2 (Glucose) SB - IM MH - *Cardiovascular Diseases/drug therapy/prevention & control MH - *Coronary Artery Disease MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - Glucose MH - *Heart Failure MH - Humans MH - Hypoglycemic Agents/pharmacology/therapeutic use MH - *Sodium-Glucose Transporter 2 Inhibitors/pharmacology/therapeutic use MH - Stroke Volume OTO - NOTNLM OT - SGLT2 inhibitors OT - cardiovascular disease OT - coronary artery disease OT - death OT - diabetes OT - heart failure EDAT- 2022/03/24 06:00 MHDA- 2022/04/28 06:00 CRDT- 2022/03/23 17:14 PHST- 2022/03/24 06:00 [pubmed] PHST- 2022/04/28 06:00 [medline] PHST- 2022/03/23 17:14 [entrez] AID - 10.1080/14779072.2022.2057949 [doi] PST - ppublish SO - Expert Rev Cardiovasc Ther. 2022 Mar;20(3):223-232. doi: 10.1080/14779072.2022.2057949. Epub 2022 Apr 20.