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Published in: Endocrine 3/2016

01-06-2016 | Original Article

Effects of liraglutide on left ventricular function in patients with non-ST-segment elevation myocardial infarction

Authors: Wei-Ren Chen, Xue-Qin Shen, Ying Zhang, Yun-Dai Chen, Shun-Ying Hu, Geng Qian, Jing Wang, Jun-Jie Yang, Zhi-Feng Wang, Feng Tian

Published in: Endocrine | Issue 3/2016

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Abstract

The influence of glucagon-like peptide-1 has been studied in several studies in patients with acute myocardial infarction, but not in patients with non-ST-segment elevation myocardial infarction (NSTEMI). We planned to evaluate the effects of liraglutide on left ventricular function in patients with NSTEMI. A total of 90 patients were randomized 1:1 to receive either liraglutide (0.6 mg for 2 days, 1.2 mg for 2 days, followed by 1.8 mg for 3 days) or placebo for 7 days. Eighty-three patients completed the trial. Transthoracic echocardiography was used to assess left ventricular function. At 3 months, the primary endpoint, the difference in the change in left ventricular ejection fraction between the two groups was +4.7 % (liraglutide vs. placebo 95 % CI +0.7 to +9.2 % P = 0.009) under intention-to-treat analysis. The difference in decrease in serum glycosylated hemoglobin levels was −0.2 % (liraglutide vs. placebo 95 % CI −0.1 to −0.3 %; P < 0.001). Inflammation and oxidative stress improved significantly in the liraglutide group compared to the placebo group. Liraglutide could improve left ventricular function in patients with NSTEMI, making it a potential adjuvant therapy for NSTEMI.
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Metadata
Title
Effects of liraglutide on left ventricular function in patients with non-ST-segment elevation myocardial infarction
Authors
Wei-Ren Chen
Xue-Qin Shen
Ying Zhang
Yun-Dai Chen
Shun-Ying Hu
Geng Qian
Jing Wang
Jun-Jie Yang
Zhi-Feng Wang
Feng Tian
Publication date
01-06-2016
Publisher
Springer US
Published in
Endocrine / Issue 3/2016
Print ISSN: 1355-008X
Electronic ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-015-0798-0

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