Arrhythmias & electrophysiology

Glucagon-Like Peptide-1 Receptor Agonists and Risk of Arrhythmias: A Network Meta-Analysis

Heart RhythmPublished Network Meta-Analysis

Authors' conclusion

Among GLP-1 RAs and co-agonists, subcutaneous semaglutide is highlighted as the most effective intervention for reducing the risk of AF. Further studies focusing on arrhythmic outcomes are needed to confirm these findings.

Study context

Population
Patients with diabetes or obesity receiving GLP-1 RAs or co-agonists
Participants
155,989 patients94 randomized controlled trials (RCTs)
Comparison
12 GLP-1 RAs and co-agonists
Outcome
AF incidence
Methodological detailsrandomized controlled trials
  • Randomized controlled trials

Pooled result

As reported in the abstract

Relative risk (95% CI)
Subcutaneous semaglutide vs placebo
0.82(0.68–0.99)
Subcutaneous semaglutide vs tirzepatide
0.57(0.37–0.88)

Further pooled results

OutcomeSubcutaneous semaglutideTirzepatideDulaglutide
AF ranking (p-score, 0 worst to 1 best)p-score 0.7885p-score 0.1830p-score 0.1750

Atrioventricular blocks

Lixisenatide was associated with a decreased risk in atrioventricular blocks

Original publication

Glucagon-Like Peptide-1 Receptor Agonists and Risk of Arrhythmias: A Network Meta-Analysis. Heart Rhythm. Published 26 October 2026. doi:10.1016/j.hrthm.2026.10.052

Composed by AI from the published abstract and checked against it. How Briefs are made →

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