An Observational Study of Cardiovascular Outcomes of Tirzepatide vs Glucagon-Like Peptide-1 Receptor Agonists

May 30, 2025JACC. Advances

Heart health outcomes of Tirzepatide compared to GLP-1 receptor drugs

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Abstract

Among 47,719 adults with type 2 diabetes and ischemic heart disease, 753 received tirzepatide.

  • Tirzepatide treatment is associated with a significant reduction in the primary composite outcomes of acute myocardial infarction, ischemic stroke, and all-cause mortality.
  • The hazard ratio for these composite outcomes with tirzepatide is 0.60, indicating a potential protective effect.
  • Individually, acute myocardial infarction is associated with a hazard ratio of 0.59, suggesting a lower risk compared to GLP-1RA.
  • All-cause mortality is associated with a hazard ratio of 0.35 in the tirzepatide group, indicating a reduced risk of death.
  • Findings are based on a cohort of adults aged 40 years or older with pre-existing ischemic heart disease and a body mass index of 25 kg/m or higher.

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