European journal of preventive cardiology

Lower risk of new atrial fibrillation in patients treated with semaglutide: Updated review and analysis of clinical trials

Updated

Abstract

Semaglutide treatment is associated with a 17% reduction in new-onset atrial fibrillation incidence in randomized clinical trials.

  • The analysis included 26 randomized clinical trials with 48,583 participants, of whom 25,879 received semaglutide.
  • New-onset atrial fibrillation was reported in 541 participants across the trials.
  • The oral formulation of semaglutide resulted in a 52% reduction in new-onset atrial fibrillation incidence.
  • Studies with active comparators showed a 59% reduced risk of new-onset atrial fibrillation.
  • In trials without Sodium-Glucose Co-Transporter 2 inhibitors, there was a 21% reduction in new-onset atrial fibrillation.
  • Baseline characteristics, including BMI and HbA1c, did not influence the effect of semaglutide on atrial fibrillation incidence.

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