Evidence mapPaperPMID 40165866Full record

ArticleInternational journal of cardiology. Heart & vasculature2025

Efficacy of glucagon-like peptide-1 receptor agonists for prevention of stroke among patients with and without diabetes: A meta-analysis with the SELECT and FLOW trails.

Asmita Gera, Fakhar Latif, Vamsikalyan Borra, Sidra Naz, Vivek Mittal, Fathima Shehnaz Ayoobkhan, Tushar Kumar, Zarghoona Wajid, Novonil Deb, Tanisha Prasad and 2 more

Abstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. From metabolism to mind: The expanding role of the GLP-1 receptor in neurotherapeutics.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Asmita GeraDepartment of Internal Medicine, Tianjin Medical University, Wuqing District, Tianjin 301700, China.
Fakhar LatifDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Vamsikalyan BorraDepartment of Internal Medicine, The University of Texas Rio Grande Valley, Edinburg, Texas, USA.
Sidra NazThe University of Texas, MD Anderson Cancer Center, Texas, USA.
Vivek MittalDepartment of Internal Medicine, Trinity Health Oakland/Wayne State University, MI, USA.
Fathima Shehnaz AyoobkhanDepartment of Internal Medicine, Trinity Health Oakland/Wayne State University, MI, USA.
Tushar KumarDepartment of Cardiothoracic and Abdominal Radiology, University of Washington, Seattle, Washington, USA.
Zarghoona WajidHennepin Healthcare/University of Minnesota, S8, Minneapolis, MN 55415, USA.
Novonil DebDepartment of Medicine, North Bengal Medical College, West Bengal, India.
Tanisha PrasadDepartment of Medicine, Royal College of Surgeons, Dublin, Ireland.
Jishanth MattumpuramDivision of Cardiology, University of Louisville School of Medicine, KY 40202, United States.
Vikash JaiswalDepartment of Cardiovascular Research, Larkin Community Hospital, South Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) have shown a reduction in major adverse cardiovascular events (MACE) among patients with type 2 diabetes mellitus (T2DM). However, its efficacy on cerebrovascular events is yet to be well established among diabetic and non diabetic patients. Objective: We sought to evaluate the efficacy of GLP-1 RAs on stroke risk among its different types in patients with and without Diabetes. Methods: We performed a systematic literature search on PubMed, EMBASE, and ClinicalTrials.gov for relevant randomized controlled trials (RCTs) from inspection until 15th July 2024, without any language restrictions. Odds ratios (OR) and 95 % confidence intervals (CI) were pooled using a random-effect model, and a p-value of < 0.05 was considered statistically significant. Results: A total of 11 RCTs with 85,373 patients were included (43,339 in GLP-1 RA and 42,034 in the placebo group) in the analysis. The mean age of the patients in GLP-1 RAs and the placebo groups was 63.5 and 63.1 years, respectively. Pooled analysis of primary and secondary endpoints showed that GLP-1 RAs significantly reduced the risk of incidence of stroke by 15 % (OR, 0.85(95 %CI: 0.77-0.93), Conclusion: Treatment with GLP-1 receptor agonists has beneficial effects in reducing the risk of stroke, and nonfatal stroke in patients with and without diabetes. However, no such effect was observed for fatal stroke.

Indexed as

DiabetesGLP-1 RAMeta-analysisOutcomesStroke

Identifiers

PMID40165866
PMCPMC11957674

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.