GLP-1 receptor agonists × cardiovascular events

SynthesisFrontiers in endocrinology2025

Effect of semaglutide on arrhythmic, major cardiovascular, and microvascular outcomes in patients with type 2 diabetes: a systematic review and meta-analysis.

Rui Wu et al.PubMed ↗Full text ↗Publisher ↗

  • Semaglutidelooks good hereLower atrial fibrillation, lower complete atrioventricular block, fewer deaths from CV causes.Randomised, large.

What the trial testedrandomised · 32,490 people · 2025

Randomised vs controls

Lowered atrial fibrillation

−27%−46% to −2%

semaglutide vs controls

Bigger than 6 in 10 for cardiovascular events

As reported

RR 0.73, 95% CI 0.54–0.98

Randomised vs controls

Lowered complete atrioventricular block

−78%−94% to −20%

semaglutide vs controls

Bigger than almost all for cardiovascular events

As reported

RR 0.22, 95% CI 0.06–0.80

Randomised vs controls

Reduced deaths from CV causes

−24%−42% to −2%

semaglutide vs controls

Bigger than 6 in 10 for cardiovascular events

As reported

RR 0.76, 95% CI 0.58–0.98 · the paper's word: death from CV causes

Randomised vs controls

Lowered revascularization

−32%−48% to −12%

semaglutide vs controls

Bigger than 7 in 10 for cardiovascular events

As reported

RR 0.68, 95% CI 0.52–0.88

Who was studied, and how

32,490people with arrhythmia, in this paper

The trial randomly assignedassigned by chance

semaglutide
controls

Lowered atrial fibrillation−27%

Lowered complete atrioventricular block−78%

Reduced deaths from CV causes−24%

randomised

the abstract, start to end

of atrial fibrillation (AF) (RR 0.73, 95% CI 0.54 to 0.98), complete atrioventricular (AV) block (RR 0.22, 95% CI 0.06 to 0.80), death from CV causes (RR 0.76, 95% CI 0.58 to 0.98), and revascularization (RR 0.68, 95% CI 0.52 to 0.88).

← favours treatmentfavours comparator →
could be chance
Atrial fibrillation (AF)semaglutide vs controls
RR 0.730.54–0.98
Complete atrioventricular (AV) blocksemaglutide vs controls
RR 0.220.06–0.80
Death from CV causessemaglutide vs controls
RR 0.760.58–0.98
Revascularizationsemaglutide vs controls
RR 0.680.52–0.88
GLP-1 receptor agonistsCardiovascular events

GLP-1 receptor agonists × cardiovascular eventshelps?mixed

unlikelylikely
0.50not counted
← favours treatmentfavours comparator →
more certainless certain
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1 paper cites it

2025
this papercites it
Full record →Abstract, authors, funding and every citing paper · PMID 40933383