From: Time-dependent effect of GLP-1 receptor agonists on cardiovascular benefits: a real-world study
Univariable analysis | Primary prevention | Secondary prevention | ||
---|---|---|---|---|
HR (95% CI) | p | HR (95% CI) | p | |
Gender (male) | 0.91 (0.46–1.81) | 0.780 | 1.17 (0.52–2.65) | 0.698 |
Age, years | 1.10 (1.04–1.15) | < 0.001 | 1.05 (1.00–1.11) | 0.038 |
Smoking | ||||
Never | 1 | Â | 1 | Â |
Current | 0.63 (0.21–1.82) | 0.391 | 1.09 (0.40–3.01) | 0.864 |
Former | 0.90 (0.39–2.10) | 0.806 | 0.99 (0.44–2.20) | 0.976 |
BMI, kg/m2 | 1.01 (0.95–1.07) | 0.758 | 1.03 (0.97–1.09) | 0.378 |
< 30 | 1 |  | 1 |  |
30–35 | 0.46 (0.18–1.19) | 0.108 | 1.69 (0.70–4.08) | 0.243 |
> 35 | 0.66 (0.29–1.51) | 0.325 | 1.34 (0.52–3.43) | 0.548 |
sBP at baseline | 1.00 (0.98–1.02) | 0.998 | 1.00 (0.98–1.02) | 0.817 |
dBP at baseline | 0.96 (0.93–1.00) | 0.046 | 0.98 (0.94–1.02) | 0.264 |
FBG, mg/dl | 1.00 (1.00–1.01) | 0.344 | 1.00 (0.99–1.01) | 0.915 |
HbA1c, % | 1.08 (0.87–1.35) | 0.471 | 1.04 (0.81–1.35) | 0.739 |
HbA1c < 7% | 0.32 (0.08–1.35) | 0.121 | 0.66 (0.20–2.22) | 0.507 |
Total cholesterol, mg/dl | 1.01 (1.00–1.01) | 0.168 | 1.01 (1.00–1.02) | 0.035 |
HDL, mg/dl | 1.00 (0.97–1.04) | 0.813 | 1.00 (0.97–10.04) | 0.831 |
Triglycerides, mg/dl | 1.001 (0.998–1.004) | 0.539 | 1.003 (0.999–1.008) | 0.174 |
LDLc, mg/dl | 1.01 (1.00–1.02) | 0.172 | 1.01 (1.00–1.02)a | 0.056 |
eGFR, ml/min/1.73 m2 | 0.97 (0.96–0.99) | < 0.001 | 0.98 (0.96–1.00) | 0.022 |
Diabetes duration, years | 1.07 (1.03–1.10) | < 0.001 | 1.02 (0.99–1.06) | 0.197 |
Diabetes duration > 10 years | 2.13 (1.08–4.19) | 0.029 | 1.51 (0.72–3.18) | 0.278 |
 > 50% coronary, carotid, or lower extremity artery stenosis | 1.96 (0.68–5.63) | 0.213 | 4.00 (1.97–8.14) | < 0.001 |
Diabetic kidney disease | 2.17 (1.10–4.31) | 0.026 | 1.91 (0.94–3.92) | 0.076 |
Anti-diabetic medications taken with GLP-1 RAs | ||||
Metformin + GLP-1 | 0.49 (0.17–1.41) | 0.188 | 0.53 (0.20–1.39) | 0.196 |
Sulphonylureas + GLP-1 | 2.01 (0.97–4.17) | 0.062 | 1.49 (0.72–3.08) | 0.282 |
Pioglitazone + GLP-1 | 0.35 (0.12–1.01) | 0.052 | 0.94 (0.32–2.74) | 0.909 |
Acarbose + GLP-1 | 3.72 (0.87–15.83) | 0.076 | NC |  |
Insulin + GLP-1 | 1.05 (0.50–2.19) | 0.906 | 1.40 (0.68–2.90) | 0.363 |
SGLT2i + GLP-1 | NC |  | NC |  |
Cardioactive therapies at baseline | ||||
Statins | 0.70 (0.35–1.39) | 0.306 |  |  |
Ezetemibe | 2.48 (0.75–8.17) | 0.134 |  |  |
Antiplatelet agents | 0.90 (0.42–1.93) | 0.783 |  |  |
Anti-hypertensives | 1.89 (0.73–4.90) | 0.190 |  |  |
ACEi o ARBs o MRAs | 1.09 (0.53–2.24) | 0.811 |  |  |
Other CV risk factors | ||||
Arterial hypertension | 2.10 (0.74–5.97) | 0.164 |  |  |
Dyslipidemia | 0.91 (0.45–1.82) | 0.780 |  |  |