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Updated: Jun 6, 2025

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
SGLT2 Inhibitors in Cardiovascular Medicine: Panacea or Pandora's Box?
Stella de Aguiar Trigueirinho Ferreira1, Lucas Lentini Herling de Oliveira1, Arthur Cicupira Rodrigues de Assis1
1Department of Emergency, Instituto do Coração (InCor), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
None:
Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are antidiabetic agents that effectively lower blood glucose levels in patients with Type 2 Diabetes Mellitus (T2DM). Beyond their glycemic control properties, SGLT2 inhibitors have demonstrated significant cardiovascular benefits, including reductions in major adverse cardiovascular events. However, the limitations of the pivotal trials investigating these outcomes have not been fully explored. This letter aims to critically assess the major randomized clinical trials that evaluated the cardiovascular effects of SGLT2 inhibitors, highlighting both their strengths and limitations.
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