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ACP Journal Club |17 January 2017

Review: In type 2 diabetes, sodium–glucose cotransporter 2 inhibitors do not increase major CV events or mortality

James Brophy, MD, FRCP, FACC, PhD

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Tang H, Fang Z, Wang T, et al. Meta-analysis of effects of sodium-glucose cotransporter 2 inhibitors on cardiovascular outcomes and all-cause mortality among patients with type 2 diabetes mellitus. Am J Cardiol. 2016;118:1774-80. 27666177

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Endocrinology:

In type 2 diabetes mellitus, what are the effects of sodium–glucose cotransporter 2 (SGLT2) inhibitors for major adverse cardiovascular events (MACE) and all-cause mortality?
Included studies compared SGLT2 inhibitors (canagliflozin, dapagliflozin, empagliflozin), alone or combined with other antidiabetes drugs, with placebo, each other, or other active antidiabetes drugs in adults ≥ 18 years of age with type 2 diabetes; had duration ≥ 24 weeks; and reported ≥ 1 outcome of interest. Primary outcomes were all-cause mortality and MACE (cardiovascular [CV] death, nonfatal myocardial infarction, or nonfatal stroke). Secondary outcomes included heart failure (HF) or hospitalization for HF, unstable angina or hospitalization for unstable angina, atrial fibrillation, and transient ischemic attack. PROSPERO registration CRD42015026853.
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Brophy J. Review: In type 2 diabetes, sodium–glucose cotransporter 2 inhibitors do not increase major CV events or mortality. Ann Intern Med. ;166:JC7. doi: 10.7326/ACPJC-2017-166-2-007

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Published: Ann Intern Med. 2017;166(2):JC7.

DOI: 10.7326/ACPJC-2017-166-2-007

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2017 American College of Physicians
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