Effects of GLP-1 Receptor Agonists on Major Cardiovascular Events Among Patients with Atopic Dermatitis: A

Abigail Katz1, Yvonne Nong2, Elaine J Ma3

  • 1From the, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Insights

Glucagon-like peptide-1 receptor agonists (GLP-1RAs) significantly reduced major adverse cardiovascular events in patients with atopic dermatitis. This study highlights GLP-1RA potential for managing cardiovascular risk in this population.

Area of Science:

  • Cardiology
  • Dermatology
  • Pharmacology

Background:

  • Atopic dermatitis (AD) is associated with elevated cardiovascular disease (CVD) risk.
  • Glucagon-like peptide-1 receptor agonists (GLP-1RAs) offer cardiometabolic benefits in the general population, but their effect in AD patients is not well-established.

Purpose of the Study:

  • To investigate the association between GLP-1RA use and the risk of major adverse cardiovascular events (MACE) in patients diagnosed with atopic dermatitis.

Main Methods:

  • A retrospective cohort study utilized the TriNetX Research Network.
  • Patients with AD (≥12 years) using GLP-1RAs were propensity-score matched (1:1) with non-users based on demographics and CVD risk factors.
  • The primary outcome was MACE incidence (CVD, heart failure, atherosclerosis, ischemic heart disease, PCI) assessed over 5, 10, and 20 years.

Main Results:

  • Among 547,246 AD patients, 4.6% used GLP-1RAs.
  • At 20 years, GLP-1RA use in AD patients was linked to lower odds of cerebrovascular disease (aOR 0.718), heart failure (aOR 0.791), atherosclerosis (aOR 0.768), and ischemic heart disease (aOR 0.900).

Conclusions:

  • GLP-1RA use in patients with atopic dermatitis is associated with a reduced long-term risk of major adverse cardiovascular events.
  • These findings suggest GLP-1RAs may provide significant cardiometabolic benefits for individuals with AD.

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