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[Evidence of iSGLT2 in the treatment of chronic kidney disease]
1Centro de Salud Doctor Pedro Laín Entralgo, Alcorcón, Madrid, España.
Insights
Chronic kidney disease (CKD) is a growing global health concern. Sodium-glucose cotransporter type 2 inhibitors now represent a revolutionary, cornerstone treatment for cardiorenal protection in CKD patients.
Area of Science:
- Nephrology
- Cardiology
- Pharmacology
Context:
- Chronic kidney disease (CKD) prevalence and incidence are increasing globally, posing a significant future health burden.
- CKD is a major contributor to cardiovascular morbidity and mortality, forming a critical cardiorenal axis with cardiovascular diseases.
- Historically, renin-angiotensin system inhibitors were the primary disease-modifying treatments for CKD.
Purpose:
- To highlight the recent advancements in pharmacological treatments for chronic kidney disease.
- To emphasize the role of novel therapeutic agents in managing cardiorenal outcomes.
Summary:
- The advent of sodium-glucose cotransporter type 2 (SGLT2) inhibitors has transformed CKD management.
- SGLT2 inhibitors offer significant cardiovascular and renal protection.
- These benefits extend to both diabetic and non-diabetic patients with CKD.
Impact:
- SGLT2 inhibitors are now considered the cornerstone of current CKD management strategies.
- This represents a paradigm shift in treating a leading chronic disease and its cardiovascular complications.
Abstract:
The prevalence and incidence of chronic kidney disease (CKD) is constantly on the rise and it is foreseeable that in the coming decades it will be the main chronic disease in the developed world. CKD is also one of the main causes of cardiovascular morbidity and mortality, with cardiovascular diseases being the main etiology of CKD, so that one and the other feed back into what is known as the cardiorenal axis. Until five years ago, the only pharmacological treatment that had been shown to modify the course of the disease were inhibitors of the renin angiotensin system. However, in recent years, the development of inhibitors of the sodium glucose cotransporter type2 have led to a revolution in cardiovascular and renal protection, both in diabetic and non-diabetic patients, constituting, at present, the cornerstone in the CKD management.
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