Trabajos de Titulación - Medicina
URI permanente para esta colecciónhttps://dspace.ucacue.edu.ec/handle/ucacue/23
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Item type: Ítem , Access status: Acceso Abierto , Actualización en el manejo de displasia de alto grado en esófago de Barrett(Universidad Católica de Cuenca., 2025) Sayay Pérez , Joseph Steven; Aldas Erazo , Manuel Rafael; 0941523813Barrett's esophagus (BE) is distinguished by the transformation of the normal squamous epithelium of the esophagus into columnar metaplasia, a condition affecting approximately 1% of the global population. It is estimated that between 3% and 5% of individuals with Barrett's esophagus will receive a diagnosis of esophageal adenocarcinoma at some point in their lives. To describe the management of high-grade dysplasia in Barrett's esophagus. A meticulous narrative literature review was conducted in databases such as PubMed, Web of Science, and Scopus, using specific inclusion and exclusion criteria. A total of 32 articles published from 2019 to 2024 were analyzed. The collected information was organized into tables, and an ethical approach was maintained since direct patient participation was not required. The search methodology included the use of MeSH, DeCS, and EMTREE terms, combined with Boolean operators. The comprehensive literature review revealed that advanced strategies in the management of Barrett's esophagus, such as radiofrequency ablation (RFA) and endoscopic mucosal resection (EMR), are effective in preventing the development of cancer, emphasizing the relevance of early diagnosis and treatment in these patients. The effective management of Barrett's esophagus using techniques like RFA and EMR minimizes the progression to cancer, optimizing the quality of life through less invasive and highly targeted interventions.Item type: Ítem , Access status: Acceso Abierto , Evidencia científica sobre selfitis en estudiantes de medicina: una revisión de alcance(Universidad Católica de Cuenca., 2025) Barrera Campoverde, José Carlos; Ochoa Bravo , Andrea Catalina; 0107328593Introduction: Selfitis is conceptualized as an obsessive-compulsive urge to take selfies and post them on social media. Aim: To map the scientific evidence on selfitis in medical students, describing its characteristics, associated factors, and implications for mental health and academic performance. Methodology: A scoping review was conducted following the PRISMA-ScR guidelines. Results: The study identified that selfitis is associated with low self-esteem, anxiety about appearance, narcissism, and the search for social validation through the compulsive use of social media. Conclusion: Selfitis in medical students is a worrying psychological and academic phenomenon because it is linked to behavioral and emotional fac tors that affect mental health and academic performance.Item type: Ítem , Access status: Acceso Abierto , Carcinoma epidermoide del esófago: reporte de caso(Universidad Católica de Cuenca., 2025) Ordóñez Palacios , Pedro José; López Tinitana, Juan Guillermo; 0107411290Esophageal squamous cell carcinoma is the ninth most common malignant tumor worldwide and the sixth most common cause of mortality related to gastrointestinal cancer. Esophageal cancer is divided into two histological types, dysplasia or carcinoma, with squamous cell carcinoma being the predominant pathology. Diagnosis is made through histopathology and contrast-enhanced tomography, which allows differentiation of important characteristics such as tumor size and, in some cases, fistula formation. This study presents a case of a 45-year-old female patient with an 82% intellectual disability. Her medical history includes excision of an inguinal mass 1 year and 6 months ago and a gastrostomy performed 2 months ago for feeding. Family history includes a father with bladder cancer and a mother with stomach cancer. The patient presented to consultation due to the presence of a mass in the neck. A contrast-enhanced tomography extension study of the neck and thorax evidenced a slightly vascularized solid neoplasm, likely dependent on the esophagus. Additionally, a fistulography identified a cutaneous fistula. The patient is currently undergoing chemotherapy treatment with good tolerance. The main diagnosis of esophageal squamous cell carcinoma is made by histopathology; however, contrast-enhanced tomography is a highly important technique as a tool that allows the differentiation of the characteristics of the neoplasm's extent, size, and potential dissemination.Item type: Ítem , Access status: Acceso Abierto , Antibioticoterapia en endocarditis infecciosa en pacientes con reemplazo valvular(Universidad Católica de Cuenca., 2025) Quinteros Rodriguez , Marco Emiliano; Flores Montesinos , Carlos Enrique; 0350086716Introducion Disease of the endocardial surface of the heart is known as infective endocarditis (IE). This infection usually affects the heart valves (native or prosthetic) or a permanent heart device. The modified Duke criteria are used for the clinical diagnosis of IE; Furthermore, blood cultures continue to be the most important laboratory study to isolate the causative agents of infective endocarditis. For treatment, antimicrobial therapy in IE of prosthetic valves depends greatly on the diagnosis and the microorganism that is involved, therefore, endocarditis must be treated for pathogens and directed by blood cultures and antibiotic sensitivity. Objective Explain the effectiveness of antibiotic therapy in infective endocarditis in patients with valve replacement. Methodology databases such as Pubmed, Scopus, Web of Science and Cochrane were used, applying advanced search to compile 21 useful articles from the last 5 years with great relevance for this review. Expected results with this work we hope to explain the effectiveness of antibiotic therapy in infective endocarditis in patients with prosthetic valves, focusing on the most current antimicrobials to treat this disease.Item type: Ítem , Access status: Acceso Abierto , Esteatohepatitis asociada a disfunción metabólica y su relación con hepatocarcinoma(Universidad Católica de Cuenca., 2025) Godoy Urvina , Jorge Luis; Aldas Erazo , Manuel Rafael; 0104864111Metabolic dysfunction-associated steatotic liver disease (MASLD) is an increasingly prevalent condition with severe public health implications. As Type 2 Diabetes Mellitus (T2DM) and obesity increase worldwide, the incidence of MASLD is also on the rise, highlighting the importance of understanding its pathogenesis and treatment options. MASLD is characterized by the accumulation of lipids in liver tissue, with possible progression to more severe forms of this hepatic pathology. Factors such as the patient's lifestyle and genetics influence its development. Metabolic-associated steatohepatitis (MASH) is a subtype of MASLD that can progress to cirrhosis. Inflammation and insulin resistance are critical factors in its pathophysiology. Weight loss through exercise and dietary changes is fundamental in the treatment, although no pharmacological therapies are currently approved for MASH. The review highlights the importance of relating MASH from a multifactorial perspective to the occurrence of hepatocarcinoma, considering both genetic and environmental factors. Lifestyle changes and weight loss remain the cornerstone of treatment, but more research is needed to develop effective drug therapies.Item type: Ítem , Access status: Acceso Abierto , Complicaciones tempranas de la cirugía bariátrica(Universidad Católica de Cuenca., 2025) Jimenez Alvarez , Yuliana Alejandra; Quichimbo Sangurima, Fausto Marcelo; 0106430275Bariatric surgery is the most effective intervention for treating morbid obesity, a chronic metabolic disease that has reached epidemic proportions worldwide. Characterized by a significant increase in prevalence and occurring at increasingly younger ages, morbid obesity often does not respond adequately to traditional or pharmacological weight-loss methods, making bariatric surgery crucial for patients with a BMI ≥40 kg/m², a BMI ≥35 with comorbidities, or a BMI between 30–35 kg/m² when non-surgical treatments have failed. This surgical procedure modifies the anatomy of the gastrointestinal tract. It not only reduces gastric capacity but also alters absorption, either by reducing the functional surface area or by modifying the neuroendocrine axis, thereby limiting the amount of food that can be consumed and metabolized. The main objective is to achieve sustained long-term weight loss, along with resolution or significant improvement of associated conditions, such as type 2 diabetes, sleep apnea, hypertension, and dyslipidemia. Despite its obvious benefits, bariatric surgery carries inherent risks, with early complications being a significant concern. These include systemic complications, such as thromboembolic and cardiovascular events, which may have serious consequences if not promptly treated. Anastomotic leaks, for example, are a critical complication that can prolong hospital stays and require additional surgical interventions for resolution.Item type: Ítem , Access status: Acceso Abierto , Tiamina en la enfermedad de Huntington(Universidad Católica de Cuenca., 2025) Segarra Ramos, Carlos Alejandro; Jaramillo Alvarez, Christian Andres; 0750516668Huntington's disease is a hereditary neurodegenerative disorder that affects the central nervous system (CNS), causing involuntary movements, cognitive decline, and emotional changes. It is caused by a genetic mutation that produces an abnormal repetition of the CAG trinucleotide in the HTT gene. Its genetic origin and neurological impact generate significant physical, emotional, cognitive, social, and economic challenges. This study analyzes the efficacy of thiamine as an adjunctive treatment in patients with Huntington's disease. According to the studies analyzed, individuals with functional defects in the SLC19A3 gene, also known as BTBGD, have reduced levels of thiamine in the cerebrospinal fluid (CSF), despite normal blood thiamine levels. Thiamine, a B1 vitamin, has been identified as a potential intervention to improve symptoms and slow disease progression. Studies have shown that thiamine contributes to the synthesis of neurotransmitters, is essential for proper brain function, and plays a vital role in cognition, memory, and emotional balance, highlighting its importance in the treatment of Huntington's disease as a therapeutic strategy.Item type: Ítem , Access status: Acceso Abierto , Efectos secundarios en el uso de inhibidores de cotransportadores de sodio y glucosa en el tratamiento de Diabetes Mellitus Tipo 2(Universidad Católica de Cuenca., 2025) Fajardo Jiménez, René Vicente; Reibán Espinoza , Esteban Adrián; 0929902310According to epidemiological data, approximately 23.5 million people worldwide suffer from type 2 diabetes mellitus, which poses serious challenges for healthcare systems, as well as for the management and achievement of sustained metabolic regulation. Treatment with SGLT2 inhibitors ―a novel non-insulin therapy that helps maintain glycemic control― has been shown to cause adverse effects, primarily associated with the onset of genitourinary infections, diabetic ketoacidosis, bladder cancer, and bone disorders. Objective: To collect bibliographic information on the “Side Effects of Using Sodium- glucose Cotransporter Inhibitors in the Treatment of Type 2 Diabetes Mellitus.” Expected Results: The use of SGLT2 inhibitors has been proven to have clinically significant adverse effects, including diabetic ketoacidosis, nephropathies, genitourinary infections, and osteoporosis, which were the most important ones identified in this review.Item type: Ítem , Access status: Acceso Abierto , Reporte de caso: Distrofia Muscular de Duchenne con variante hemicigota en el exón 45(Universidad Católica de Cuenca., 2025) Villa Ayora , Paola Estefanía; Jaramillo Álvarez , Christian Andrés; 0106901713Background: Duchenne muscular dystrophy is a serious, rare condition that affects 1 in every 3,600-6,000 male births worldwide. It has a high mutation rate, with 1 in 3 cases presenting a de novo mutation. The phenotype is related to the location of the genetic variant; however, there is no clear relationship between deletions and phenotype severity. This disease is associated with neurodevelopmental disorders and severe orthopedic complications. Treatment with a monoclonal antibody (Translarna) has proven useful, showing good results in slowing the progression of the disease. Case Presentation: A 24-year-old male patient with an unclear diagnosis of plantar pathology who used devices such as insoles without improvement in his condition. After collecting signs, symptoms, complementary tests, and molecular studies, a diagnosis of Duchenne muscular dystrophy was reached. Once the disease was confirmed, the patient was treated with corticosteroids and supplemented with creatine daily for four years without showing improvement in his clinical condition. From the age of 18 to the present, he has been treated with a monoclonal antibody (Translarna), which has kept the patient in a stable clinical condition and slowed the progression of the disease. Expected Conclusions: It is expected to raise awareness about the rarity of Duchenne muscular dystrophy, especially its genetic mutations such as the hemizygous exon 45 variant, and the effectiveness of the monoclonal antibody (Translarna) as an available treatment for this disease.Item type: Ítem , Access status: Acceso Abierto , Sufrimiento fetal agudo: PH fetal del cuero cabelludo intraparto(Universidad Católica de Cuenca., 2025) Almestar Japon, Katherine Fernanda; Duran Vega , Oswaldo Jair; 0107149585Introduction: Acute fetal distress involves a series of obstetric complications, altering the normal course of a eutocic delivery. Fetal scalp pH testing is of utmost importance to determine if the fetus is receiving enough oxygen, which could be useful for the early detection of acute fetal distress. Literature Review: Examination of the fetal scalp is very important to corroborate fetal well-being. It helps us with the early diagnosis of acute fetal distress, thereby preventing irreversible neurological damage. Conclusions: Intrapartum fetal scalp sampling is performed as a complementary method, being a great indicator of fetal hypoxia. With proper intervention, it plays a crucial role in the early diagnosis of fetal distress.Item type: Ítem , Access status: Acceso Abierto , Resistencia a ciprofloxacino en infecciones del tracto urinario por escherichia coli(Universidad Católica de Cuenca., 2025) Apolo Guerrero, Laura Mishelle; Gallegos Merchán, Juan Diego; 0705543270Introduction: Urinary tract infection (UTI) is characterized by a significant increase in pathogenic microorganisms in a urine sample obtained sterilely. More than 95% of urinary tract infections (UTIs) are caused by a single bacterial species, with Echerichia coli (E. coli) responsible for 75-95% of cases of acute uncomplicated cystitis. From 2018 to 2020, it is estimated that 0.7% of outpatient consultations, equivalent to 7 million annual consultations by women, are related to urinary tract infections. Women report an annual prevalence of 10.8%. Its diagnosis is based on agar dilution methods, molecular techniques and CHROMagar Orientation. General objective: To carry out a review of the literature on resistance to ciprofloxacin in urinary tract infections due to Echerichia Coli. Methodology: databases such as Pubmed, Scielo, Scopus and Science Direct were used, applying advanced search to compile 16 useful articles from the last 6 years with great relevance for this review Expected results with this work it is expected to contribute to clinical practice by providing information relevant to ciprofloxacin resistance in urinary tract infection due to Escherichia coli.Item type: Ítem , Access status: Acceso Abierto , Paradigmas actuales en el tratamiento de enfermedad hepática esteatósica asociada a disfunción metabólica(Universidad Católica de Cuenca., 2025) Calle Hidalgo, Angelo Andreu; Aldas Erazo , Manuel Rafael; 1725019374Liver disease associated with metabolic dysfunction has emerged as a significant clinical entity within hepatology. It is characterized by hepatic fat infiltration, excluding factors such as alcohol consumption or other exogenous substances. Addressing this pathology is of utmost importance due to its growing prevalence and close association with obesity, insulin resistance, and type 2 diabetes. Despite its clinical relevance, there is no clear consensus on the optimal treatment for this condition. This literature review aims to establish a standardized approach to the treatment of this disease. Evidence indicates that hygiene, dietary measures, and exercise are effective at all stages of the disease, even in reversing fibrosis. However, adherence to these general measures is low, necessitating the exploration of pharmacological treatments. Currently, regulatory bodies have not approved specific pharmacological treatments for this condition. The results indicate that the use of pioglitazone and vitamin E are effective therapeutic approaches for treating this pathology and are supported by international societies; however, they are not exempt from adverse effects, which is why the use of other pharmacological therapies has been considered in this reviewItem type: Ítem , Access status: Acceso Abierto , Resistencia bacteriana a macrólidos en infecciones respiratorias(Universidad Católica de Cuenca., 2025) Molina Asitimbay , Darwin David; Cardoso Landivar , José David; 0106066053Introduction: Antibiotic resistance, particularly to macrolides, represents a significant public health problem. Although antimicrobial resistance is a natural phenomenon, the COVID-19 pandemic has exacerbated this problem, jeopardizing the effectiveness of treatments and increasing morbidity and mortality. Literature Review: The causes of macrolide resistance are complex and multifactorial. Key contributing factors include the lack of new effective antibiotics and the inappropriate prescription of existing antibiotics, whether through overuse or misuse. The mechanisms of macrolide resistance include mutations in specific genes, the activity of methyltransferase enzymes, and the presence of efflux pumps. Furthermore, macrolide resistance rates vary significantly across different regions and pathogens. Conclusions: Overall, Asian countries show higher levels of resistance compared to Europe and the United States. This situation negatively impacts public health, compromising the effectiveness of treatments and increasing the economic burden, morbidity, and mortality, especially in patients with severe respiratory infections. The growing macrolide resistance in respiratory system infections is a pressing issue that demands urgent and multifaceted solutions. It is crucial to understand the resistance mechanisms and epidemiological trends to guide decision-making and optimize treatments.Item type: Ítem , Access status: Acceso Abierto , Terapia ANTI-TNF versus NO ANTI-TNF en el manejo de la enfermedad de Crohn perianal fistulizante(Universidad Católica de Cuenca., 2025) Alvarez Sarmiento, Josseline Elizabeth; Ascaribay Mora , Andrés Fernando; Aldás Erazo , Manuel Rafael; 0106092380; 0106627565Title: Anti-TNF Therapy versus Non-Anti-TNF Therapy in Perianal Fistulizing Crohn's Disease Objective: To determine the effectiveness of Anti-TNF Therapy versus Non-Anti-TNF therapy in managing fistulizing perianal Crohn's disease. Methodology: The PRISMA declaration was used through databases such as PubMed, Cochrane, SciELO, ProQuest, and ScienceDirect, using search algorithms based on keywords. In addition, eligibility and inclusion criteria were applied, including articles published within the last five years, a list of biologics as therapy for CD (Crohn’s Disease) perianal fistulizing, original articles in Spanish and English; and exclusion criteria such as those that are not scientific and do not support the research question. Additionally, to determine the risk of bias in the studies, the Newcastle-Ottawa scale was applied, and finally, to synthesize the results, the Excel tool was used in which the interventions of the participants in each article were initially described, whether with the use of one or another biological. Results: In this review, a total of 31 articles, including both descriptive studies and clinical trials, were used, involving a total of 6803 participants with fistulizing perianal CD. On average, the included articles demonstrated a clinical remission rate of 37.82% and a response rate of 59.21% non-anti-TNF therapy patients. However, those patients with anti-TNF therapy achieved a remission rate of 50.67% and a response rate of 67.77%. In addition, adverse effects were found in both therapeutic profiles, such as skin erythema, recurrent infections, and worsening of perianal CD, among others. Conclusions: Although both therapies are feasible, TNF inhibitors stand out in response and clinical remission in maintenance. However, they present more significant adverse effects.Item type: Ítem , Access status: Acceso Abierto , Clip endoscópico para la prevención del sangrado después de la resección de pólipos colorrectales(Universidad Católica de Cuenca., 2025) Bustamante Correa, Karla Elizabeth; Calle Rodas, Daniel Alejandro; 0107559445Colorectal polyps are lesions that protrude from the surface of the mucosa into the lumen of the colorectum. They are treated surgically, and bleeding is the most common complication during the procedure. However, 10% of patients may bleed for up to 3 days after resection, which is usually managed by endoscopic hemostasis using coagulation forceps, adrenaline injections, and thermal coagulation methods. Currently, endoscopic clips have gained popularity as a new hemostatic technique. Despite their good results, they have limitations depending on patient-specific factors and the technique applied by the endoscopist. This literature review aims to describe the efficacy of endoscopic clips as a preventive measure for bleeding after colorectal polyp resection. Considering the benefits and limitations of the technique, several authors justify that clipping is appropriate according to clinical criteria and the individual characteristics of the patient. However, others contrast this with evidence suggesting the lack of efficacy of routinely use of clips to close resection sites, especially in polyps smaller than 20 mm. The effectiveness of clips for prophylactic purposes in bleeding remains controversial due to the significant gap in the standardization of data collected across different studies. The size of the polyps, resection technique, number of clips used to close the lesion, and endoscopist training are the main factors that affect the resultsItem type: Ítem , Access status: Acceso Abierto , Hipotiroidismo congénito(Universidad Católica de Cuenca., 2025) Montaño Loja , Angie Tamara; Vanegas Cobeña , Nancy Esperanza; 0107171365Congenital hypothyroidism (CH) is a medical condition in which a newborn has a defect in the production of thyroid hormones. An absent, underdeveloped, or malformed thyroid gland can cause this. Discussion of CH is extremely important due to its profound implications for the health and development of newborns. Neonatal screening plays a fundamental role in the early detection and effective management of this condition. This practice allows affected newborns to be identified before they show clinical symptoms, facilitating early initiation of treatment with levothyroxine. Early detection and timely treatment are crucial to prevent delays in physical and mental development, as well as to reduce the risk of long-term complications associated with CH. In conclusion, a comprehensive understanding of congenital hypothyroidism requires a multidisciplinary approach that includes early detection, appropriate treatment, and continuous monitoring of the patient.Item type: Ítem , Access status: Acceso Abierto , Complicaciones pulmonares causadas por la utilización del cigarrillo electrónico(Universidad Católica de Cuenca., 2025) Porras Carrillo , Gabriela Katherine; Maldonado Valverde, Andrés; 0706210556The use of electronic cigarettes has raised concerns due to potential lung complications. Although they have been promoted as a less risky alternative to traditional smoking, studies show they are not without risks to lung health. One of the main complications is acute lung injury, such as bronchiolitis obliterans, a serious disease that can lead to permanent lung dysfunction and, in extreme cases, death. However, there has been an increase in cases of lung diseases, especially among young people who use e-cigarettes with liquids containing nicotine and other additives. Another significant complication is the development of lipid pneumonia, a lung condition in which tissues become inflamed due to the inhalation of oils and other components present in the liquids used in e-cigarettes. This condition can cause symptoms such as breathing difficulties, coughing, chest pain, and other serious respiratory symptoms. Furthermore, electronic cigarettes can aggravate pre-existing respiratory conditions, such as asthma and chronic obstructive pulmonary disease (COPD). Exposure to the chemical components and fine particles in e-cigarette aerosol can irritate the airways and worsen symptoms in people who already have these diseases. In summary, even though that e-cigarettes have been promoted as a better and safer option than conventional smoking, their use carries significant risks to lung health. Both patients and healthcare personnel need to be aware of these complications and take measures to prevent their occurrenceItem type: Ítem , Access status: Acceso Abierto , Vitamina D y cáncer de mama(Universidad Católica de Cuenca., 2025) Lopez Vallejo, Maria Eduarda; Ochoa Bravo , Andrea Catalina; 1316160504Introduction: The relationship between vitamin D and breast cancer has been a subject of growing interest in medical research, as numerous studies suggest an association between adequate vitamin D levels and a significant reduction in the risk of developing neoplasms of the mammary gland. Sun-derived vitamin D, primarily known for its role in bone health, has emerged as a potentially crucial factor in the prevention and progression of various types of neoplasms, including breast cancer. Clinical and experimental studies support its role in tumor inhibition, improved prognosis, and lower incidence in populations with adequate sun exposure. Consequently, this literature review aims to highlight the relationship between breast cancer pathology and vitamin D. Objective: To conduct a narrative literature review on the relationship between vitamin D and breast cancer. Methodology: A scientific literature search was conducted using databases such as PubMed, Scopus, SciELO, and Web of Science, covering 10 years up to the present, and focusing on studies related to vitamin D and cancer. Conclusion: Vitamin D deficiency plays a significant role as a major risk factor for the development of breast neoplasia. Maintaining adequate vitamin D levels helps combat the growth and spread of this carcinoma.Item type: Ítem , Access status: Acceso Abierto , Anticuerpos monoclonales como tratamiento de esclerosis múltiple: efectividad, seguridad y perspectivas futuras(Universidad Católica de Cuenca., 2025) Ramón Once , Jheymi Marcela; Jaramillo Alvarez , Christian Andrés; 1400859425TITLE: Monoclonal Antibodies as a Treatment for Multiple Sclerosis: Efficacy, Safety, and Future Prospects. The treatment of multiple sclerosis may include lifestyle changes and/or the administration of drugs, depending on the severity and clinical manifestations presented by the patient. OBJECTIVE: To analyze the efficacy and safety associated with the use of monoclonal antibodies as a treatment for multiple sclerosis. METHODOLOGY: This research consists of a descriptive literature review with a qualitative approach, supported by 55 publications obtained from scientific databases such as Scopus, Lilacs, Redalyc, PubMed, Web of Science, and SciELO. CONCLUSION: Multiple sclerosis has no cure, but the emergence of monoclonal antibodies represents a reliable alternative to reduce the severity of symptoms, control the progression of disability, prevent new relapses, and improve the quality of life of patients.Item type: Ítem , Access status: Acceso Abierto , Efectos de los inhibidores del cotransportador sodio-glucosa tipo 2 en la anemia(Universidad Católica de Cuenca., 2025) Reinoso Astudillo , Evelyn Marcela; Reiban Espinoza, Esteban Adrian; 0107488108Introduction: The relevance of this review lies in the growing evidence that sodium-glucose cotransporter 2 inhibitors (SGLT2i) go beyond their traditional use in managing type 2 diabetes, showing potential benefits for treating anemia associated with chronic diseases such as chronic kidney disease and heart failure. This review examines the impact of SGLT2i on erythropoiesis, thereby enhancing life expectancy and quality of life. Literature Review: Recent studies indicate that SGLT2i improve tissue hypoxia and anemia by inhibiting glucose reabsorption in the renal tubules, reducing oxygen consumption, and improving renal tissue oxygenation. This results in an elevation of erythropoietin production, an increase in hematocrit and hemoglobin levels, and an improvement in survival, as well as a reduction in renal and cardiovascular events. The underlying mechanisms include reducing inflammation and modulating hypoxia signaling and ferrokinetics. Conclusions: SGLT2i have an extended therapeutic effect that goes beyond glycemic control, also including the regulation of anemia in patients with chronic diseases. These findings suggest a paradigm shift in the therapeutic approach, offering a more comprehensive treatment for these comorbidities.
