Related Experiment Video
Updated: Jun 25, 2025

Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
Published on: September 27, 2024
Semaglutide in Cardiometabolic Diseases: SELECTing the Target Population
Francesco Natale1, Ettore Luisi1,2, Rosa Franzese1,2
1Vanvitelli Cardiology Unit, Monaldi Hospital, 80131 Naples, Italy.
Insights
Glucagon-like peptide-1 (GLP-1) receptor agonists, like semaglutide, show promise in managing type 2 diabetes and obesity. Emerging evidence highlights their cardiovascular protective effects, offering new therapeutic avenues.
Area of Science:
- Cardiology
- Endocrinology
- Pharmacology
Background:
- Cardiovascular diseases are a leading global cause of death and disability.
- Despite advances, cardiovascular mortality continues to rise.
- Novel therapeutic targets and drugs are needed for cardiometabolic risk factors.
Purpose of the Study:
- To review the cardiovascular benefits of GLP-1 receptor agonists (GLP-1RAs).
- To focus on semaglutide, a GLP-1RA with demonstrated cardiovascular outcome efficacy.
- To characterize patient populations benefiting from semaglutide for cardiovascular health.
Main Methods:
- Review of recent scientific literature and clinical publications on semaglutide.
- Analysis of data regarding GLP-1RAs' effects on cardiometabolic pathways and inflammation.
- Evaluation of evidence supporting cardiovascular protection by GLP-1RAs.
Main Results:
- GLP-1 receptor agonists (GLP-1RAs) are effective in glycemic control and obesity management.
- GLP-1RAs demonstrate a protective role in cardiovascular health.
- Semaglutide has shown efficacy in improving cardiovascular outcomes.
Conclusions:
- GLP-1RAs, particularly semaglutide, offer significant cardiometabolic benefits.
- The anti-inflammatory effects and widespread receptor distribution of GLP-1RAs contribute to their versatility.
- Further characterization of patient subgroups benefiting from semaglutide for cardiovascular outcomes is warranted.
Abstract:
Cardiovascular diseases remain the main cause of death and disability worldwide. Despite the tremendous improvement in pharmacological, minimally invasive and rehabilitative strategies, global deaths due to cardiovascular diseases are still increasing. Additional risk factors have been recently proposed, and thanks to scientific progress, novel drugs for the control of the main risk factors focusing on the cardiometabolic pathways have been identified. Glucagon-like peptide-1 (GLP-1) receptor agonists represent an innovative step in the management of patients affected by type 2 diabetes mellitus. In addition to their significant efficacy on glycemic homeostasis, some members of this class of drugs have indications in the treatment of obesity. Furthermore, accumulated evidence in the literature has finally suggested a protective role in cardiovascular health. The possible role of GLP-1R agonist drugs (GLP-1RAs) on the mechanisms underlying chronic inflammation and the almost ubiquitous distribution of GLP-1 receptors could explain the enormous versatility of these drugs. Semaglutide is a GLP-1RA recently proven to be effective in cardiovascular outcomes. In the present article, we will review the available data on semaglutide in light of the most recent publications to better characterize the target population achieving cardiovascular benefits.
Related Concept Videos
Oral Hypoglycemic Agents: Biguanides and Glitazones
Glucagon-like Receptor Agonists
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by...
Oral Hypoglycemic Agents: α-Glucosidase Inhibitors
Acarbose and miglitol are...
Dipeptidyl Peptidase 4 Inhibitors
Oral Hypoglycemic Agents: Glinides
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...

