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Myocardial deformation links combined liraglutide-empagliflozin therapy with improved cardiovascular and economic outcomes in type 2 diabetes: a 6-year study - PubMed

5 hours ago
  • #cardiovascular outcomes
  • #combined therapy
  • #type 2 diabetes
  • Combined liraglutide-empagliflozin therapy in type 2 diabetes showed the greatest improvement in left ventricular global longitudinal strain (LVGLS) at 6 months compared to insulin, GLP-1RA, or SGLT2i alone.
  • Over a 6-year follow-up, the combination therapy group had the lowest risk of non-fatal cardiovascular events, with hazard ratios significantly favoring it over insulin, GLP-1RA, and SGLT2i monotherapies.
  • Improvement in LVGLS within the combination group independently predicted reduced cardiovascular risk, highlighting myocardial deformation as a key mediator.
  • Cost analysis revealed the combination therapy resulted in the lowest mean healthcare cost per patient per month, demonstrating economic benefits alongside clinical outcomes.
  • The study concludes that early myocardial deformation improvements from combined GLP-1RA and SGLT2i therapy translate into long-term cardiovascular risk reduction and favorable economic outcomes in type 2 diabetes.