Cardiovascular outcomes of type 2 diabetic patients treated with SGLT-2 inhibitors versus GLP-1 receptor agonists in real-life

Jun 28, 2020BMJ open diabetes research & care

Heart health in type 2 diabetes patients treated with SGLT-2 inhibitors compared to GLP-1 receptor agonists in everyday care

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Abstract

T2D patients treated with SGLT2 inhibitors experienced a lower rate of major adverse cardiovascular events compared to those treated with GLP-1 receptor agonists.

  • The study involved 8596 matched T2D patients over a median follow-up of 13 months.
  • SGLT2 inhibitor treatment was associated with a hazard ratio (HR) of 0.68 for major adverse cardiovascular events, indicating a reduced risk compared to GLP-1 receptor agonists.
  • Myocardial infarction rates were lower in the SGLT2i group, with an HR of 0.72.
  • Hospitalization for heart failure was reduced in SGLT2i patients, showing an HR of 0.59.
  • Hospitalization for cardiovascular causes was also lower in the SGLT2i group, with an HR of 0.82.
  • No significant differences in adverse events were observed between the two treatment groups.

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Key numbers

0.68
3P-MACE Rate Reduction
Hazard Ratio for SGLT2i vs. GLP-1RA
0.59
Heart Failure Hospitalization Rate Reduction
Hazard Ratio for SGLT2i vs. GLP-1RA
0.72
Myocardial Infarction Rate Reduction
Hazard Ratio for SGLT2i vs. GLP-1RA

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