Acute cardiac care & resuscitation

Sodium-glucose cotransporter-2 inhibitors compared with glucagon-like-peptide-1 receptor agonists and out-of-hospital cardiac arrest in type 2 diabetes: a nationwide nested case-control study

Eur Heart J Cardiovasc PharmacotherPublished Nested case-control study

Main finding · OHCAResult — go to the resultAdjusted odds ratio 0.76 95% CI 0.58–0.99

Authors' conclusion

Use of SGLT-2i is associated with a reduced risk of OHCA compared with use of GLP-1a in type 2 diabetes.

Study context

Population
Individuals with T2DM in Denmark, 2013–2019; cases out-of-hospital cardiac arrest (OHCA) from presumed cardiac causes3,618 cases · 18,090 matched controls
Comparison
SGLT-2i vs GLP-1a
Outcome
OHCA
Methodological detailsnationwide, Danish registries, matched on age, sex and index date (1:5)
  • Nationwide
  • Danish registries
  • Matched on age, sex and index date (1:5)

Main finding

As reported in the abstract

Adjusted odds ratio

0.76

95% CI 0.58–0.99

SGLT-2ivs GLP-1a
adjusted OR 0.76 (95% CI 0.58–0.99)

Observational data: associations, not effects.

Further findings

OHCA by sex, pre-existing cardiac disease, HF, DM duration, CKD (subgroups)

Adjusted OR did not vary significantly by subgroup
  • Interaction P: sex 0.461; cardiac disease 0.762; HF 0.891; DM duration 0.101; CKD 0.894

Original publication

Sodium-glucose cotransporter-2 inhibitors compared with glucagon-like-peptide-1 receptor agonists and out-of-hospital cardiac arrest in type 2 diabetes: a nationwide nested case-control study. Eur Heart J Cardiovasc Pharmacother. Published 12 May 2023. doi:10.1093/ehjcvp/pvad033

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