Cardiometabolic & kidney

Liraglutide Improves Myocardial Perfusion and Energetics and Exercise Tolerance in Patients With Type 2 Diabetes

J Am Coll CardiolPublished Randomised crossover trial

Authors' conclusion

Liraglutide treatment resulted in improved myocardial perfusion, energetics, and 6-minute walk distance in patients with T2D, whereas pioglitazone showed no effect on these parameters

Study context

Population
Patients with T2DM without CVD
Participants
41 patients
Comparison
Liraglutide vs pioglitazone
Methodological detailsopen-label, 8-week washout
  • Open-label
  • 8-week washout

Primary result

As reported in the abstract

Myocardial perfusion, energetics and 6-minute walk distance (before vs after treatment) · 16 weeks
Liraglutide: stress myocardial blood flow 1.62 to 2.08 mL/g/min
P = 0.01
Liraglutide: myocardial perfusion reserve 2.40 to 2.90
P = 0.01
Liraglutide: rest phosphocreatine/ATP ratio 1.47 to 1.94
P =0.00002
Liraglutide: stress phosphocreatine/ATP ratio 1.32 to 1.58
P = 0.004
Liraglutide: 6-minute walk distance 488 m to 521 m
P = 0.009
Pioglitazone: Left ventricular (LV) mass 96 g to 105 g
P = 0.003
Pioglitazone: mitral-inflow E/A ratio 1.04 to 1.34
P = 0.008
Pioglitazone: LV concentricity index 0.79 to 0.73 mg/mL
P = 0.04

Original publication

Liraglutide Improves Myocardial Perfusion and Energetics and Exercise Tolerance in Patients With Type 2 Diabetes. J Am Coll Cardiol. Published 6 August 2024. doi:10.1016/j.jacc.2024.04.064

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