Interní Med. 2010; 12(4): 223-224
Glitazones are antidiabetic drugs acting through the stimulation of nuclear PPAR (peroxisome proliferator activated receptors) receptors.
Due to pleiotropic effects of PPAR activation glitazones not only improve blood glucose and insulin resistance but also exert
antiinflammatory, blood pressure lowering and numerous other positive effects. In addition to benefitial effects of glitazones possible
cardiovascular side effects in patients with coronary heart disease are discussed especially in connection with rosiglitazone. The aim of
this article is to summarize the results of recent trials with rosiglitazone in patients with cardiovascular complications. From the cardiovascular
safety point of view strict adherence to contraindications of glitazones administration is necessary (especially presence of heart
failure is important contraindication). The results of recent studies demonstrate that addition of glitazones to combined antidiabetic
treatment can have very positive effects even in patients with increased cardiovascular risk.
Published: May 1, 2010 Show citation