🎯 Meta-analysis to provide the NNT and efficacy of GLP-1RA in reducing risk of myocardial infarction (MI).
👥109,846 pts from 25 studies. Risk-reduction effect of GLP-1RA were pooled using pairwise meta-analysis with a random-effects model.
The primary outcome was MI, and secondary outcomes were the individual ASCVD constituents.
📊 Main findings:
- Over a FU of 3.5 ± 1.5yrs, GLP-1RA ⬇️the risk of total MI (RR: 0.86, p<0.01), w/ NNT of 207 to prevent 1 event.
- Higher BMI was associated with greater MI risk reduction (β: -0.09, p=0.03) in GLP-1RA users.
- GLP-1RA ⬇️ cv mortality (RR: 0.87, p<0.01, NNT 170), MACE (RR:0.87, p<0.01, NNT 67) and stroke (RR:0.88, p<0.01, NNT 335) compared to placebo.
📩 Take home message: GLP-1RA reduced the risk of MI, stroke, cv mortality, and MACE in a broad range of pts with and without T2DM and/or prior ASCVD, supporting its role in ASCVD prevention, especially in the cohort w/ high BMI.
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ALT https://cardiab.biomedcentral.com/articles/10.1186/s12933-025-02840-3