Cardiovascular and renal outcomes of glucagon-like peptide 1 receptor agonists among patients with and without type 2 diabetes mellitus: A meta-analysis of randomized placebo-controlled trials

May 23, 2024American journal of preventive cardiology

Heart and kidney effects of glucagon-like peptide 1 receptor drugs in people with and without type 2 diabetes

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Abstract

GLP-1 receptor agonists (GLP-1RAs) significantly reduced major adverse cardiovascular events (MACEs) by 14% (OR 0.86) in a review of 13 trials involving 83,258 patients.

  • GLP-1RAs are associated with a 13% reduction in all-cause mortality (OR 0.87).
  • There is a 13% decrease in cardiovascular mortality (OR 0.87) with GLP-1RA treatment.
  • Fatal stroke risk is reduced by 26% (OR 0.74), while non-fatal stroke risk is lowered by 13% (OR 0.87).
  • Coronary revascularization procedures are reduced by 14% (OR 0.86) among patients treated with GLP-1RAs.
  • A composite kidney outcome shows a significant reduction of 24% (OR 0.76) with GLP-1RA therapy.
  • These benefits are consistent across different sexes, history of cardiovascular disease, body mass index, and kidney function levels.

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