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Therapeutic strategy for diabetic patients with cardiovascular-kidney-metabolic syndrome
Jing Huang1,2, Pei-Yuan Zuo1,2, Cun-Tai Zhang1,2
1Department of Geriatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan 430030, China.
Insights
Cardiovascular-kidney-metabolic (CKM) syndrome involves complex interactions between heart, kidney, and metabolic health, increasing risks. Certain antidiabetic drugs offer cardiorenal benefits, guiding CKM management strategies.
Area of Science:
- Internal Medicine
- Cardiology
- Nephrology
- Endocrinology
Background:
- Cardiovascular-kidney-metabolic (CKM) syndrome is a multisystemic condition driven by interactions between cardiovascular disease, chronic kidney disease, and metabolic risk factors.
- This syndrome results in multiorgan dysfunction, significantly increasing the risk of cardiovascular events and adverse renal outcomes.
- CKM syndrome represents a substantial burden of morbidity and mortality globally.
Purpose of the Study:
- To review common antidiabetic agents with demonstrated cardiorenal benefits.
- To elaborate on the clinical efficacy of these agents in managing cardiovascular and kidney outcomes.
- To inform the development of a holistic CKM management framework and enhance clinical documentation skills.
Main Methods:
- Literature review of antidiabetic agents with cardiorenal benefits.
- Analysis of clinical trial data on efficacy in cardiovascular and kidney outcomes.
- Synthesis of findings to propose a CKM management framework.
Main Results:
- Several classes of antidiabetic drugs exhibit significant cardiorenal protective effects.
- These agents have shown efficacy in reducing cardiovascular events and slowing the progression of kidney disease.
- Individualized and precision medicine approaches are crucial for effective CKM management.
Conclusions:
- Antidiabetic drugs with cardiorenal benefits are pivotal in managing CKM syndrome.
- A comprehensive management strategy integrating pharmacotherapy and personalized approaches is essential.
- Further research and education are needed to optimize CKM care and clinical documentation.
Abstract:
Cardiovascular-kidney-metabolic (CKM) syndrome is a multisystemic condition arising from the intricate interactions among cardiovascular disease, chronic kidney disease, and metabolic risk factors, which together impose a high burden of morbidity and mortality. Poor CKM health leads to a clinical syndrome with multiorgan dysfunction, with the most significant consequence being a high risk of cardiovascular events and serious renal outcomes. Based on the growing recognition of CKM syndrome, antidiabetic drugs with cardiorenal benefits are considered as first-line therapeutic strategies for patients with type 2 diabetes mellitus. In this review, we summarize several common antidiabetic agents with cardiorenal benefits, and elaborate on their clinical efficacy in addressing cardiovascular events and kidney outcomes in clinical practice, with the aim of developing a holistic CKM management framework and getting a ward-documentation skills among junior doctors. Individualized treatment and precision medicine treatment is also of great importance for CKM health.
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