PMID- 35345273 OWN - NLM STAT- MEDLINE DCOM- 20220418 LR - 20220418 IS - 1530-6550 (Print) IS - 1530-6550 (Linking) VI - 23 IP - 3 DP - 2022 Mar 17 TI - Cardiorenal Impact of SGLT-2 Inhibitors: A Conceptual Revolution in The Management of Type 2 Diabetes, Heart Failure and Chronic Kidney Disease. PG - 106 LID - 10.31083/j.rcm2303106 [doi] AB - Type 2 Diabetes Mellitus (T2DM) is associated with an elevated incidence of cardiovascular and renal diseases, responsible for mortality rates significantly higher than in the general population. The management of both cardiovascular risk and progression of kidney disease thus seem crucial in the treatment of the diabetic patient. The availability of new classes of drugs which positively affect both cardiovascular and renal risk, regardless of the glycemic control, represents a revolution in the treatment of T2DM and shifts the attention from the intensive glycemic control to a holistic management of the diabetic patient. Among these, sodium-glucose cotransporter-2 inhibitors (SGLT2i) have been associated with a remarkable reduction of cardiovascular and renal mortality, lower hospitalization rates for heart failure and lower progression of renal damage and albuminuria. Thus, their use in selected subpopulations seems mandatory. Aim of this review was the assessment of the current evidence on SGLT2i and their related impact on the cardiovascular and renal profiles. CI - (c) 2022 The Author(s). Published by IMR Press. FAU - Nevola, Riccardo AU - Nevola R AD - Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 80138 Naples, Italy. AD - Department of Internal Medicine, Betania Evangelical Hospital, Via Argine, 80147 Naples, Italy. FAU - Alfano, Maria AU - Alfano M AD - Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 80138 Naples, Italy. FAU - Pafundi, Pia Clara AU - Pafundi PC AD - Facility of Epidemiology and Biostatistics, Gemelli Generator, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy. FAU - Brin, Chiara AU - Brin C AD - Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 80138 Naples, Italy. FAU - Gragnano, Felice AU - Gragnano F AD - Division of Cardiology, A.O.R.N. "Sant'Anna e San Sebastiano", Caserta, Italy. AD - Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy. FAU - Calabro, Paolo AU - Calabro P AD - Division of Cardiology, A.O.R.N. "Sant'Anna e San Sebastiano", Caserta, Italy. AD - Department of Translational Medical Sciences, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy. FAU - Adinolfi, Luigi Elio AU - Adinolfi LE AD - Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 80138 Naples, Italy. FAU - Rinaldi, Luca AU - Rinaldi L AD - Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 80138 Naples, Italy. FAU - Sasso, Ferdinando Carlo AU - Sasso FC AD - Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 80138 Naples, Italy. FAU - Caturano, Alfredo AU - Caturano A AD - Internal Medicine Unit, Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia, 80138 Naples, Italy. LA - eng PT - Journal Article PT - Review PL - Singapore TA - Rev Cardiovasc Med JT - Reviews in cardiovascular medicine JID - 100960007 RN - 0 (Hypoglycemic Agents) RN - 0 (Sodium-Glucose Transporter 2 Inhibitors) SB - IM MH - *Cardiovascular Diseases/diagnosis/epidemiology/prevention & control MH - *Diabetes Mellitus, Type 2/complications/diagnosis/drug therapy MH - Female MH - *Heart Failure/diagnosis/drug therapy/epidemiology MH - Humans MH - Hypoglycemic Agents/adverse effects MH - Male MH - *Renal Insufficiency, Chronic/diagnosis/epidemiology MH - *Sodium-Glucose Transporter 2 Inhibitors/adverse effects OTO - NOTNLM OT - SGLT2i OT - chronic kidney disease OT - diabetes OT - gliflozin OT - heart failure COIS- The authors declare no conflict of interest. Ferdinando Carlo Sasso is serving as one of the Editorial Board members of this journal. We declare that Ferdinando Carlo Sasso had no involvement in the peer review of this article and has no access to information regarding its peer review. Full responsibility for the editorial process for this article was delegated to Massimo Volpe, Filippos Triposkiadis, Grigorios Korosoglou and Matteo Cameli. EDAT- 2022/03/30 06:00 MHDA- 2022/04/19 06:00 CRDT- 2022/03/29 01:40 PHST- 2021/12/02 00:00 [received] PHST- 2022/01/01 00:00 [revised] PHST- 2022/01/06 00:00 [accepted] PHST- 2022/03/29 01:40 [entrez] PHST- 2022/03/30 06:00 [pubmed] PHST- 2022/04/19 06:00 [medline] AID - S1530-6550(22)00430-6 [pii] AID - 10.31083/j.rcm2303106 [doi] PST - ppublish SO - Rev Cardiovasc Med. 2022 Mar 17;23(3):106. doi: 10.31083/j.rcm2303106.