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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.
Abstract:
Background: Atopic dermatitis (AD) is linked to increased cardiovascular risk. While GLP-1 receptor agonists (GLP-1RAs) show cardiometabolic benefits in the general population, their impact in patients with AD remains unclear.Objective: To evaluate whether GLP-1RA use is associated with a reduced risk of major adverse cardiovascular events (MACE) in patients with AD.Methods: This retrospective cohort study used TriNetX Research Network. Patients with AD ≥12 years old who used GLP-1RAs between April 2005 and December 2020 were 1:1 propensity-score matched to patients with AD not on GLP-1RA by demographic and cardiovascular risk factors. The primary outcome was incidence of MACE (cerebrovascular disease [CVD], heart failure [HF], atherosclerosis, ischemic heart disease [IHD], and percutaneous coronary intervention [PCI]) at 5, 10, and 20 years post-index date.Results: Of the 547,246 patients with AD, 24,936 (4.6%) used GLP-1RAs. After propensity-matching, at 20 years, patients with AD on GLP-1RA had lower odds of CVD (adjusted odds ratio [aOR] 0.718 [0.643-0.800]), HF (aOR 0.791 [0.732-0.854]), atherosclerosis (aOR 0.768 [0.715-0.826]), and IHD (aOR 0.900 [0.841, 0.963]), compared with patients with AD not using GLP-1RAs.Conclusions: In patients with AD, GLP-1RA use was associated with a reduced long-term risk of CVD, HF, IHD, and atherosclerosis, highlighting their potential cardiometabolic benefit in this population.
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