The impact of sodium‐glucose co‐transporter‐2 inhibitors on dementia and cardiovascular events in diabetic patients with atrial fibrillation

Feb 10, 2024Diabetes/metabolism research and reviews

Sodium-glucose blocker drugs and their link to dementia and heart problems in diabetic patients with irregular heartbeat

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Abstract

SGLT2i use was associated with a 71% lower risk of incident dementia in diabetic patients with atrial fibrillation over up to 5 years of follow-up.

  • SGLT2i was linked to a significantly reduced risk of vascular dementia (HR: 0.44).
  • Use of SGLT2i was associated with lower rates of AF-related hospitalisation (HR: 0.72).
  • Patients on SGLT2i had a reduced risk of stroke (HR: 0.75).
  • SGLT2i was related to a lower risk of all-cause death (HR: 0.33).
  • The protective effects of SGLT2i were consistent regardless of concurrent use of non-vitamin K antagonist oral anticoagulants or DPP4i.

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