Empagliflozin and Cerebrovascular Events in Patients With Type 2 Diabetes Mellitus at High Cardiovascular Risk
Author(s) -
Bernard Zinman,
Silvio E. Inzucchi,
John M. Lachin,
Christoph Wanner,
David Fitchett,
Sven Köhler,
Michaela Mattheus,
Hans J. Woerle,
Uli C. Broedl,
Odd Erik Johansen,
Gregory W. Albers,
HansChristoph Diener
Publication year - 2017
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.116.015756
Subject(s) - empagliflozin , medicine , hazard ratio , placebo , stroke (engine) , diabetes mellitus , type 2 diabetes mellitus , type 2 diabetes , confidence interval , myocardial infarction , cardiology , surgery , endocrinology , mechanical engineering , alternative medicine , pathology , engineering
In the EMPA-REG OUTCOME trial (Empagliflozin Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients), empagliflozin added to standard of care in patients with type 2 diabetes mellitus and high cardiovascular risk reduced the risk of 3-point major adverse cardiovascular events, driven by a reduction in cardiovascular mortality, with no significant difference between empagliflozin and placebo in risk of myocardial infarction or stroke. In a modified intent-to-treat analysis, the hazard ratio for stroke was 1.18 (95% confidence interval, 0.89-1.56; P =0.26). We further investigated cerebrovascular events.
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