Physicians' Academy for Cardiovascular Education

Clinical inertia in CKD - What is the rationale for SGLT2i?

Subtitling in English, German, Italian, Spanish and French

10' education - June 21, 2021 - Janaka Karalliedde, MD, PhD - London, UK - Online CME

Janaka Karalliedde gives an overview of trials and guidelines that provide evidence for using SGLT2 inhibitors to improve outcomes in patients with CKD.

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  • CKD is underdiagnosed in T2DM  01:53
  • Kidney outcomes in SGLT2i CV outcome trials 03:37
  • Cardiac benefits of SGLT2i in patients with CKD 05:31
  • Reno-protective effects of SGLT2i in people with T2DM and HFrEF 06:18
  • Diabetes guidelines and KDIGO guidelines  07:57
  • Conclusions 10:49

What is true about the outcomes of the EMPA-REG OUTCOME trial?

  • A. SGLT2i empagliflozin reduced kidney outcomes (evaluated as secondary outcomes) by 26%
  • B. Empagliflozin reduced time to CV death by 29% in patients with diabetes and prevalent kidney disease
  • C. The trial showed that empagliflozin has cardioprotective effects, but no reno-protective effects
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Educational information

This lecture by Janaka Karalliedde was part of the EBAC-accredited symposium "SGLT2i in CKD: How to overcome clinical inertia?" held during the virtual ERA EDTA 2021 congress.

Faculty

Janaka Karalliedde MD, PhD is a clinical senior lecturer in the School of Cardiovascular Medicine & Sciences at King's College London, and a consultant in diabetes, endocrinology and internal medicine at Guy’s and St Thomas’ Hospital London.

Disclosures

This recording was independently developed under auspices of PACE-cme. The views expressed in this recording are those of the individual presenter and do not necessarily reflect the views of PACE-cme.

Funding

Funding for this educational program was provided by an unrestricted educational grant from Boehringer Ingelheim/Lilly.

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