International Journal of Cardiology

Obesity drugs linked to fewer cases of a heart rhythm disorder

Over one year, a heart rhythm disorder occurred in 1.63% of drug users and 2.62% of matched nonusers with obesity and chronic kidney disease.

Paper by Hassan A, Okorigba E, Grace C et al.

Graphical abstract from International Journal of Cardiology
Open the figure at full size
Graphical abstract. Hassan et al.
Cohort study of nondiabetic adults with obesity and chronic kidney disease, against matched nonusersInterventions

94,527 participants

Limit: The abstract did not report adverse events

Follow

Adults aged 18 or older with obesity and stage 3–5 chronic kidney disease, but without diabetes, were studied in a retrospective observational cohort. Researchers used records from 66 US healthcare organizations. They matched 7,326 people taking semaglutide, liraglutide or tirzepatide with 7,326 nonusers based on recorded characteristics.

At one year, drug use was associated with fewer new cases of atrial fibrillation, a type of irregular heartbeat. The researchers reported a 34.5% lower relative risk. Drug users also had fewer fast heart rhythms arising in the heart’s lower chambers and fewer hospitalizations for any cause. These associations persisted in analyses extending follow-up to two and three years.

Why it matters

Preventing heart rhythm disorders is relevant to maintaining heart health as people age. The authors called for randomized trials to test the possible benefit in this population.

Caveats

This observational study could not establish causation; matching cannot rule out unmeasured differences between groups. The findings concern adults without diabetes who had obesity and stage 3–5 chronic kidney disease, and the abstract did not report adverse events.