Glucagon-Like Peptide-1 Receptor Agonists and Prevention of Stroke Systematic Review of Cardiovascular Outcome Trials With Meta-Analysis.

Abstract:

:Background and Purpose- The purpose of this study was to conduct a meta-analysis of CVOTs (cardiovascular outcome trials) to evaluate the effect of glucagon-like peptide-1 receptor agonists therapy in reducing the risk of stroke in patients with type 2 diabetes mellitus. Methods- PubMed and other electronic sources were searched until June 20, 2019, to identify relevant studies. Hazard ratios with 95% CIs were used as a measure of the association between use of glucagon-like peptide-1 receptor agonists and risk of stroke after pooling data across trials. Results- Seven CVOTs with 56 004 participants were identified. Use of glucagon-like peptide-1 receptor agonists in patients with type 2 diabetes mellitus was associated with 15% lower risk of nonfatal stroke (P=0.002), 19% lower risk of fatal stroke (P=0.150), and 16% lower risk of total stroke (P=0.001). There was no association between reductions of hemoglobin A1c levels or body weight and risk of stroke. Conclusions- Glucagon-like peptide-1 receptor agonists reduce the risk of nonfatal stroke in patients with T2D.

journal_name

Stroke

journal_title

Stroke

authors

Bellastella G,Maiorino MI,Longo M,Scappaticcio L,Chiodini P,Esposito K,Giugliano D

doi

10.1161/STROKEAHA.119.027557

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

666-669

issue

2

eissn

0039-2499

issn

1524-4628

journal_volume

51

pub_type

临床试验,杂志文章

相关文献

STROKE文献大全
  • A common polymorphism of the protein Z gene is associated with protein Z plasma levels and with risk of cerebral ischemia in the young.

    abstract:BACKGROUND AND PURPOSE:The vitamin K-dependent protein Z (PZ) has been shown to possess anticoagulant as well as procoagulant properties. Plasma levels of PZ show a broad interindividual variation, but it is unknown to which extent this variation is under genetic control. Recent clinical studies revealed contradictory ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000106909.75418.E4

    authors: Lichy C,Kropp S,Dong-Si T,Genius J,Dolan T,Hampe T,Stoll F,Reuner K,Grond-Ginsbach C,Grau A

    更新日期:2004-01-01 00:00:00

  • Adopting a Patient-Centered Approach to Primary Outcome Analysis of Acute Stroke Trials Using a Utility-Weighted Modified Rankin Scale.

    abstract:BACKGROUND AND PURPOSE:Although the modified Rankin Scale (mRS) is the most commonly used primary end point in acute stroke trials, its power is limited when analyzed in dichotomized fashion and its indication of effect size challenging to interpret when analyzed ordinally. Weighting the 7 Rankin levels by utilities ma...

    journal_title:Stroke

    pub_type: 杂志文章,meta分析

    doi:10.1161/STROKEAHA.114.008547

    authors: Chaisinanunkul N,Adeoye O,Lewis RJ,Grotta JC,Broderick J,Jovin TG,Nogueira RG,Elm JJ,Graves T,Berry S,Lees KR,Barreto AD,Saver JL,DAWN Trial and MOST Trial Steering Committees.,Additional contributors from DAWN Trial Steering

    更新日期:2015-08-01 00:00:00

  • Prophylactic but not delayed administration of simvastatin protects against long-lasting cognitive and morphological consequences of neonatal hypoxic-ischemic brain injury, reduces interleukin-1beta and tumor necrosis factor-alpha mRNA induction, and does

    abstract:BACKGROUND AND PURPOSE:Prophylactic administration of simvastatin has been shown to protect against brain damage and its long-lasting behavioral consequences in neonatal rats. To establish the drug treatment window, we evaluated the effectiveness of simvastatin administered at different intervals before and after strok...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000080677.24419.88

    authors: Balduini W,Mazzoni E,Carloni S,De Simoni MG,Perego C,Sironi L,Cimino M

    更新日期:2003-08-01 00:00:00

  • Emboli formation rather than inflammatory mediators are responsible for increased cerebral water content after conventional and assisted beating-heart myocardial revascularization in a porcine model.

    abstract:BACKGROUND AND PURPOSE:Emboli and proinflammatory mediators are suspected of generating cerebral edema after coronary surgery. In contrast to cardiopulmonary bypass (CPB), off-pump coronary artery bypass surgery (OPCAB) reduces microemboli count and proinflammatory mediator release but carries the risk of hemodynamic i...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.107.496620

    authors: Bierbach B,Meier M,Kasper-König W,Heimann A,Alessandri B,Horstick G,Oelert H,Kempski O

    更新日期:2008-01-01 00:00:00

  • Perinatal nicotine exposure increases vulnerability of hypoxic-ischemic brain injury in neonatal rats: role of angiotensin II receptors.

    abstract:BACKGROUND AND PURPOSE:Maternal cigarette smoking increases the risk of neonatal morbidity. We tested the hypothesis that perinatal nicotine exposure causes heightened brain vulnerability to hypoxic-ischemic (HI) injury in neonatal rats through aberrant expression patterns of angiotensin II type 1 (AT(1)R) and type 2 (...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.112.664698

    authors: Li Y,Xiao D,Dasgupta C,Xiong F,Tong W,Yang S,Zhang L

    更新日期:2012-09-01 00:00:00

  • Cerebral blood flow immediately following brief circulatory stasis.

    abstract::Cerebral blood flow was studied in rabbits immediately following complete circulatory stasis of varying duration. Systemic arterial pressure was measured continuously. The postischemic circulation was examined both by an infusion of carbon black and, in separate experiments, by injection of 14C-antipyrine into the blo...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.10.4.423

    authors: Fischer EG,Ames A 3rd,Lorenzo AV

    更新日期:1979-07-01 00:00:00

  • Exaggeration of focal cerebral ischemia in transgenic mice carrying human Renin and human angiotensinogen genes.

    abstract:BACKGROUND AND PURPOSE:We examined the possibility that activation of the human brain renin-angiotensin system is involved in enhancement of ischemic brain damage using chimeric transgenic mice with human renin (hRN) and human angiotensinogen (hANG) genes. METHODS:Chimeric (hRN/hANG-Tg) mice were generated by mating o...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.108.519801

    authors: Inaba S,Iwai M,Tomono Y,Senba I,Furuno M,Kanno H,Okayama H,Mogi M,Higaki J,Horiuchi M

    更新日期:2009-02-01 00:00:00

  • Postischemic (1 hour) hypothermia significantly reduces ischemic cell damage in rats subjected to 2 hours of middle cerebral artery occlusion.

    abstract:BACKGROUND AND PURPOSE:We investigated the effect of hypothermia induced 1 hour after transient (2-hour) middle cerebral artery occlusion on the extent of ischemic cell damage in the rat. METHODS:Middle cerebral artery occlusion was induced extracranially by insertion of a nylon filament into the right internal caroti...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.24.8.1235

    authors: Zhang RL,Chopp M,Chen H,Garcia JH,Zhang ZG

    更新日期:1993-08-01 00:00:00

  • Montreal Cognitive Assessment 5-minute protocol is a brief, valid, reliable, and feasible cognitive screen for telephone administration.

    abstract:BACKGROUND AND PURPOSE:The National Institute of Neurological Disorders and Stroke-Canadian Stroke Network Vascular Cognitive Impairment Harmonization working group proposed a brief cognitive protocol for screening of vascular cognitive impairment. We investigated the validity, reliability, and feasibility of the Montr...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.114.007253

    authors: Wong A,Nyenhuis D,Black SE,Law LS,Lo ES,Kwan PW,Au L,Chan AY,Wong LK,Nasreddine Z,Mok V

    更新日期:2015-04-01 00:00:00

  • Reduction of tissue plasminogen activator-induced matrix metalloproteinase-9 by simvastatin in astrocytes.

    abstract:BACKGROUND AND PURPOSE:Hemorrhagic conversion after tissue plasminogen activator (tPA) stroke therapy has been linked with elevations in matrix metalloproteinase-9 (MMP-9) at the neurovascular interface. Here, we test the idea that statins may directly ameliorate tPA-induced MMP-9 dysregulation. METHODS:Recombinant hu...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000226923.48905.39

    authors: Wang S,Lee SR,Guo SZ,Kim WJ,Montaner J,Wang X,Lo EH

    更新日期:2006-07-01 00:00:00

  • Enlargement of spontaneous intracerebral hemorrhage. Incidence and time course.

    abstract:BACKGROUND AND PURPOSE:Standard radiographic criteria for hematoma enlargement have not been established. We undertook this investigation to assess the incidence and time course of hematoma growth using objective cutoff values. METHODS:We reviewed the clinical records of 204 patients with spontaneous intracerebral hem...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.27.10.1783

    authors: Kazui S,Naritomi H,Yamamoto H,Sawada T,Yamaguchi T

    更新日期:1996-10-01 00:00:00

  • Pseudocontinuous arterial spin labeling quantifies relative cerebral blood flow in acute stroke.

    abstract:BACKGROUND AND PURPOSE:The aim of this study was to test whether arterial spin labeling (ASL) can detect significant differences in relative cerebral blood flow (rCBF) in the core, mismatch, and reverse-mismatch regions, and whether rCBF values measured by ASL in those areas differ from values obtained using dynamic su...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.635979

    authors: Hernandez DA,Bokkers RP,Mirasol RV,Luby M,Henning EC,Merino JG,Warach S,Latour LL

    更新日期:2012-03-01 00:00:00

  • Predictors of time from hospital arrival to initial brain-imaging among suspected stroke patients: the North Carolina Collaborative Stroke Registry.

    abstract:BACKGROUND AND PURPOSE:We examined patient demographic and hospital characteristics and clinical predictors of delay time from hospital arrival until CT among 20 374 patients enrolled in the North Carolina Collaborative Stroke Registry (January 2005 to April 2008). METHODS:Delay time was log-transformed in linear regr...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.108.524686

    authors: Rose KM,Rosamond WD,Huston SL,Murphy CV,Tegeler CH

    更新日期:2008-12-01 00:00:00

  • Safety, feasibility, and short-term follow-up of drug-eluting stent placement in the intracranial and extracranial circulation.

    abstract:BACKGROUND AND PURPOSE:The use of bare metal stents to treat symptomatic intracranial stenosis may be associated with significant restenosis rates. The advent of drug-eluting stents (DESs) in the coronary circulation has resulted in a reduction of restenosis rates. We report our technical success rate and short-term re...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.STR.0000242481.38262.7b

    authors: Gupta R,Al-Ali F,Thomas AJ,Horowitz MB,Barrow T,Vora NA,Uchino K,Hammer MD,Wechsler LR,Jovin TG

    更新日期:2006-10-01 00:00:00

  • Dysphagia in lateral medullary infarction (Wallenberg's syndrome): an acute disconnection syndrome in premotor neurons related to swallowing activity?

    abstract:BACKGROUND AND PURPOSE:We have investigated the pathophysiological mechanisms of dysphagia in Wallenberg's syndrome (WS) that are due to lateral medullary infarction (LMI). METHODS:Twenty patients with WS were evaluated by means of clinical and electrophysiological methods that measured the oropharyngeal phase of volu...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/hs0901.094278

    authors: Aydogdu I,Ertekin C,Tarlaci S,Turman B,Kiylioglu N,Secil Y

    更新日期:2001-09-01 00:00:00

  • Potential consequences for recruitment, power, and external validity of requirements for additional risk factors for eligibility in randomized controlled trials in secondary prevention of stroke.

    abstract:BACKGROUND AND PURPOSE:Eligibility criteria determine the external validity (generalizability) of the results of randomized controlled trials. To increase the number of outcome events, and hence statistical power, some recent stroke prevention trials have required additional vascular risk factors for eligibility. METH...

    journal_title:Stroke

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/01.STR.0000195125.59349.23

    authors: Howard SC,Algra A,Warlow CP,Rothwell PM

    更新日期:2006-01-01 00:00:00

  • Thrombus Permeability in Admission Computed Tomographic Imaging Indicates Stroke Pathogenesis Based on Thrombus Histology.

    abstract::Background and Purpose- Intracranial thrombi can be characterized according to their permeability as measured by contrast agent penetration. Thrombus composition and its associated pathogenesis are important factors affecting treatment and secondary prevention. We aimed to explore the histopathologic factors explainin...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.021873

    authors: Berndt M,Friedrich B,Maegerlein C,Moench S,Hedderich D,Lehm M,Zimmer C,Straeter A,Poppert H,Wunderlich S,Schirmer L,Oberdieck P,Kaesmacher J,Boeckh-Behrens T

    更新日期:2018-11-01 00:00:00

  • Postmortem examination of vascular lesions in cognitive impairment: a survey among neuropathological services.

    abstract:BACKGROUND AND PURPOSE:A full appreciation of the presence of cerebral vascular lesions in cognitively impaired patients can be ultimately reached at the neuropathological level. However, there are no detailed guidelines regarding what neuropathologists should look for at autopsy in cases of suspected vascular dementia...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.STR.0000206445.97511.ae

    authors: Pantoni L,Sarti C,Alafuzoff I,Jellinger K,Munoz DG,Ogata J,Palumbo V

    更新日期:2006-04-01 00:00:00

  • High-sensitivity C-reactive protein and lipoprotein-associated phospholipase A2 stability before and after stroke and myocardial infarction.

    abstract:BACKGROUND AND PURPOSE:High-sensitivity C-reactive protein (hsCRP) and lipoprotein-associated phospholipase A2 (Lp-PLA2) are hypothesized to be biomarkers of systemic inflammation and risk of myocardial infarction (MI) and stroke. Little is known, however, about the stability of these markers over time, and in particul...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.552802

    authors: Elkind MS,Leon V,Moon YP,Paik MC,Sacco RL

    更新日期:2009-10-01 00:00:00

  • Hypercortisolism revealed by the dexamethasone suppression test in patients [corrected] with acute ischemic stroke.

    abstract::Using the dexamethasone suppression test, we studied the activity of the hypothalamic-pituitary-adrenal axis within the first week after onset in 62 patients with acute ischemic stroke. Compared with two control groups (one comprising 25 elderly patients with various acute medical disorders and the other comprising 33...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.20.12.1685

    authors: Olsson T,Aström M,Eriksson S,Forssell A

    更新日期:1989-12-01 00:00:00

  • Hyperglycemia, recognized and unrecognized, as a risk factor for stroke and transient ischemic attacks.

    abstract::Glycosylated hemoglobin concentration (GHb), which is considered an indication of glycemia over the preceding several months, was examined in 50 patients hospitalized for recent stroke or transient ischemic attacks (TIA), and compared to that in several reference populations. Patients with stroke or TIA had GHb (mean ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.13.3.356

    authors: Riddle MC,Hart J

    更新日期:1982-05-01 00:00:00

  • Synergistic Interaction Between Zinc and Reactive Oxygen Species Amplifies Ischemic Brain Injury in Rats.

    abstract::Background and Purpose- Although intracellular zinc accumulation has been shown to contribute to neuronal death after cerebral ischemia, the mechanism by which zinc keeps on accumulating to cause severe brain damage remains unclear. Herein the dynamic cause-effect relationships between zinc accumulation and reactive o...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.118.021179

    authors: Zhao Y,Yan F,Yin J,Pan R,Shi W,Qi Z,Fang Y,Huang Y,Li S,Luo Y,Ji X,Liu KJ

    更新日期:2018-09-01 00:00:00

  • Normal-Appearing White Matter Integrity Is a Predictor of Outcome After Ischemic Stroke.

    abstract::Background and Purpose- The aim of the present study was to evaluate the relationship between normal-appearing white matter (NAWM) integrity and postischemic stroke recovery in 4 main domains including cognition, mood, gait, and dependency. Methods- A prospective study was conducted, including patients diagnosed for a...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.119.026886

    authors: Sagnier S,Catheline G,Dilharreguy B,Linck PA,Coupé P,Munsch F,Bigourdan A,Debruxelles S,Poli M,Olindo S,Renou P,Rouanet F,Dousset V,Berthoz S,Tourdias T,Sibon I

    更新日期:2020-02-01 00:00:00

  • Prospective quality initiative to maximize dysphagia screening reduces hospital-acquired pneumonia prevalence in patients with stroke.

    abstract:BACKGROUND AND PURPOSE:Dysphagia can lead to pneumonia and subsequent death after acute stroke. However, no prospective study has demonstrated reduced pneumonia prevalence after implementation of a dysphagia screen. METHODS:We performed a single-center prospective interrupted time series trial of a quality initiative ...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/STROKEAHA.111.000204

    authors: Titsworth WL,Abram J,Fullerton A,Hester J,Guin P,Waters MF,Mocco J

    更新日期:2013-11-01 00:00:00

  • Artery-to-artery embolism from a thrombus formed in stenotic middle cerebral artery. Report of an autopsy case.

    abstract::The authors report an autopsy case with repeated transient ischemic attacks and subsequent strokes demonstrating evidence of artery-to-artery embolism from thrombi generated in the stenotic middle cerebral artery to the distal cortical branches. This case substantiates the existence of intracranial artery-to-artery em...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.18.3.680

    authors: Masuda J,Ogata J,Yutani C,Miyashita T,Yamaguchi T

    更新日期:1987-05-01 00:00:00

  • Compliance with the stroke education performance measure in the Michigan Paul Coverdell National Acute Stroke Registry.

    abstract:BACKGROUND AND PURPOSE:Stroke education, 1 of 8 endorsed stroke performance measures, consists of 5 specific subcomponents: risk factors, stroke warning signs, emergency medical service activation, physician follow-up, and discharge medications. We identified predictors of stroke education performance measure complianc...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.000763

    authors: Nickles A,Fiedler J,Roberts S,Lyon-Callo S,Hurst R,Reeves M

    更新日期:2013-05-01 00:00:00

  • Spontaneous improvement after acute ischemic stroke. A pilot study.

    abstract::Recent clinical studies emphasize the importance of early (less than 12 hours after onset) treatment of patients with acute ischemic stroke. Therapies have been proposed as being effective because of early clinical improvement. The frequency and degree of spontaneous improvement in such patients, however, is unknown. ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.21.7.1008

    authors: Biller J,Love BB,Marsh EE 3rd,Jones MP,Knepper LE,Jiang D,Adams HP Jr,Gordon DL

    更新日期:1990-07-01 00:00:00

  • Diffusion-weighted magnetic resonance imaging in a case of cerebral venous thrombosis.

    abstract:BACKGROUND:Diffusion-weighted imaging (DWI) is the most sensitive MR sequence in acute arterial ischemic stroke but has not yet been evaluated in venous cerebral ischemia. We describe a patient with DWI performed at the acute phase of a venous ischemic stroke. CASE DESCRIPTION:A rapid cerebral MRI including DWI and fa...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.29.12.2649

    authors: Corvol JC,Oppenheim C,Manaï R,Logak M,Dormont D,Samson Y,Marsault C,Rancurel G

    更新日期:1998-12-01 00:00:00

  • 4G/4G genotype of PAI-1 gene is associated with reduced risk of stroke in elderly.

    abstract:BACKGROUND AND PURPOSE:Plasminogen activator inhibitor type 1 (PAI-1) is the main inhibitor of fibrinolysis, and high levels may increase the risk of cardiovascular disease. The 4G/5G polymorphism affects PAI-1 gene transcription with lower levels of plasma PAI-1 in the presence of the 5G allele. We investigated whethe...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000098004.26252.EB

    authors: Hoekstra T,Geleijnse JM,Kluft C,Giltay EJ,Kok FJ,Schouten EG

    更新日期:2003-12-01 00:00:00

  • The deleterious or beneficial effects of different agents in intracerebral hemorrhage: think big, think small, or is hematoma size important?

    abstract:BACKGROUND AND PURPOSE:Thrombin, heme oxygenase, complement, microglia activation, and leukocyte infiltration are all actively upregulated in intracerebral hemorrhage (ICH). Experimental evidence suggests that all these factors are involved in ICH-induced brain injury. This suggests a scenario whereby ICH actively (thr...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.STR.0000170701.41507.e1

    authors: Keep RF,Xi G,Hua Y,Hoff JT

    更新日期:2005-07-01 00:00:00