Cardiovascular, renal, and lower limb outcomes in patients with type 2 diabetes after percutaneous coronary intervention and treated with sodium–glucose cotransporter 2 inhibitors vs. dipeptidyl peptidase-4 inhibitors

Jan 13, 2023European heart journal. Cardiovascular pharmacotherapy

Heart, kidney, and leg health in type 2 diabetes patients after artery treatment using two diabetes drug types

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Abstract

SGLT2 inhibitors are associated with significantly lower risks of heart failure hospitalization and all-cause mortality compared to DPP4 inhibitors in patients with type 2 diabetes after percutaneous coronary intervention.

  • Heart failure hospitalization occurred at a rate of 1.35% per year with SGLT2i compared to 2.28% per year with DPP4i.
  • Coronary revascularization rates were 2.33% per year for SGLT2i and 3.36% per year for DPP4i.
  • The risk of composite renal outcomes was significantly lower with SGLT2i (0.10% per year) than DPP4i (1.05% per year).
  • All-cause mortality was 2.27% per year for SGLT2i versus 3.80% per year for DPP4i.
  • No significant differences were observed in the risks of ischaemic stroke and acute myocardial infarction between the two treatment groups.

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