Effect of add-on empagliflozin on arterial stiffness in patients with type 2 diabetes and cardiovascular disease: an analysis from a placebo-controlled EMBLEM trial
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- Tanaka Atsushi
- Department of Cardiovascular Medicine, Saga University
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- Teragawa Hiroki
- Department of Cardiovascular Medicine, JR Hiroshima Hospital
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- Takamura Toshinari
- Department of Endocrinology and Metabolism, Kanazawa University Graduate School of Medical Sciences
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- Maruhashi Tatsuya
- Department of Cardiovascular Regeneration and Medicine, Research Institute for Radiation Biology and Medicine, Hiroshima University
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- Yamaoka-Tojo Minako
- Department of Cardiovascular Medicine, Kitasato University School of Medicine
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- Ako Junya
- Department of Cardiovascular Medicine, Kitasato University School of Medicine
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- Yufu Kunio
- Department of Cardiology and Clinical Examination, Oita University Faculty of Medicine
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- Takahashi Naohiko
- Department of Cardiology and Clinical Examination, Oita University Faculty of Medicine
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- Tomiyama Hirofumi
- Department of Cardiology, Tokyo Medical University
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- Higashi Yukihito
- Department of Cardiovascular Regeneration and Medicine, Research Institute for Radiation Biology and Medicine, Hiroshima University
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- Node Koichi
- Department of Cardiovascular Medicine, Saga University
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<p>Background: Although sodium glucose co-transporter 2 (SGLT2) inhibition has been proven to have preventive and therapeutic effects on heart failure, its clinical effect on arterial stiffness remains controversial. Herein, we sought to assess the effect of add-on empagliflozin treatment on arterial stiffness, assessed as brachial-ankle pulse wave velocity (baPWV), in patients with type 2 diabetes (T2D) and cardiovascular disease (CVD).</p><p>Methods and Results: This was a prespecified secondary analysis of the effect of empagliflozin on endothelial function in cardiovascular high risk diabetes mellitus: multi-center placebo-controlled double-blind randomized (EMBLEM) trial (UMIN000024502), which was designed primarily to evaluate the effect of empagliflozin, relative to placebo, on endothelial function in patients with T2D and CVD. The present analysis compared the changes in baPWV from baseline to week 24 between empagliflozin (10 mg once daily, n = 13) and placebo (n = 13) groups. Absolute change from baseline to week 24 in baPWV was 54.9 ± 123.9 cm/s in the empagliflozin group and 43.7 ± 166.4 cm/s in the placebo group (mean group difference, 11.2 cm/s [95% confidence interval, -108.1 to 130.5], P = 0.848).</p><p>Conclusions: Add-on empagliflozin treatment did not affect baPWV in EMBLEM trial participants.</p><p>Trial registration: University Medical Information Network Clinical Trial Registry, number 000024502</p>
収録刊行物
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- Vascular Failure
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Vascular Failure 6 (1), 1-7, 2022-12-25
一般社団法人 日本血管不全学会
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詳細情報 詳細情報について
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- CRID
- 1390295104416755200
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- ISSN
- 24324477
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
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- 使用不可