Practical Geriatrics ›› 2025, Vol. 39 ›› Issue (6): 617-620.doi: 10.3969/j.issn.1003-9198.2025.06.017

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Research progress on the cardioprotective effect of SGLT2 inhibitors through Na+/H+ exchanger

ZHANG Xinlu, HE Huiwei   

  1. Department of Geriatrics, Nanjing Medical University Sir Run Run Hospital, Nanjing 211112,China(ZHANG Xinlu); Department of Geriatrics,the Second Hospital of Nanjing Medical University, Nanjing 210011,China (HE Huiwei)
  • Received:2024-10-13 Online:2025-06-20 Published:2025-07-07
  • Contact: HE Huiwei, Email: 13851821696@163.com

Abstract: As research on sodium-glucose cotransporter 2 (SGLT2) inhibitors deepens and clinical benefits become evident, SGLT2 inhibitors have been gradually included in guidelines for heart failure management, although their mechanisms of cardioprotective effect remain not fully understood. The Na+/H+ exchanger (NHE) plays a crucial role in the cardioprotective effects of SGLT2 inhibitors, and NHE has also become an important target for drug intervention in cardiac hypertrophy and myocardial ischemia-reperfusion. This article reviews the role of NHE in cardiovascular function and its mechanism in the cardioprotective effects of SGLT2 inhibitors.

Key words: sodium-glucose cotransporter 2, Na+/H+ exchanger, heart failure

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