Sodium-Glucose Cotransporter 2 Inhibitors and Risk of Hyperkalemia in People With Type 2 Diabetes: A Meta-Analysis of Individual Participant Data From Randomized, Controlled Trials
Author(s) -
Brendon L. Neuen,
Megumi Oshima,
Rajiv Agarwal,
Clare Arnott,
David Z.I. Cherney,
Robert Edwards,
Anna Maria Langkilde,
Kenneth W. Mahaffey,
Darren K. McGuire,
Bruce Neal,
Vlado Perkovic,
Annpey Pong,
Marc S. Sabatine,
Itamar Raz,
Tadashi Toyama,
Christoph Wanner,
David C. Wheeler,
Stephen D. Wiviott,
Bernard Zinman,
Hiddo J.L. Heerspink
Publication year - 2022
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.121.057736
Subject(s) - medicine , type 2 diabetes , hyperkalemia , randomized controlled trial , meta analysis , diabetes mellitus , cotransporter , benzhydryl compounds , pharmacology , sodium , endocrinology , chemistry , organic chemistry , bisphenol a , epoxy
Hyperkalemia increases risk of cardiac arrhythmias and death and limits the use of renin-angiotensin-aldosterone system inhibitors and mineralocorticoid receptor antagonists, which improve clinical outcomes in people with chronic kidney disease or systolic heart failure. Sodium-glucose cotransporter 2 (SGLT2) inhibitors reduce the risk of cardiorenal events in people with type 2 diabetes at high cardiovascular risk or with chronic kidney disease. However, their effect on hyperkalemia has not been systematically evaluated.
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