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ForumsCardiovascular OutcomesGLP-1 and atrial fibrillation risk — November 2025 Page 6

GLP-1 and atrial fibrillation risk — November 2025

NurseLeah_Nash Mon, Oct 20, 2025 at 7:42 AM 39 replies 2,030 viewsPage 6 of 8
ChrisMacros
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Michigan
Nov 10, 2025 at 7:31 AM#26
TrialNerd_Beth said:
anders_CPH said: ...cardiovascular risk is just another fad...

Same experience, arrived at from the opposite direction.

15 15RunnerRach, TrialNerd_Beth, HPLC_Greg and 12 others
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Dr.NephBHM_UK
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Jun 2024
Birmingham, UK
Nov 12, 2025 at 8:42 PM#27
TrialNerd_Beth said:
anders_CPH said: ...cardiovascular risk is just another fad...

I want to bring up the cardiovascular angle on cardiovascular risk.

The SELECT trial demonstrated a 20% reduction in MACE with semaglutide 2.4mg[1]. This is practice-changing because the CV benefit appears to be independent of the degree of weight loss — suggesting direct vascular and anti-inflammatory mechanisms.

For cardiovascular risk, this means we need to think beyond the primary outcome and consider the cardiovascular implications. The all-cause mortality reduction (HR 0.81) is the most clinically meaningful signal.

References:
[1] Lincoff AM, et al. N Engl J Med. 2023;389(24):2221-2232.
Last edited: Nov 13, 2025 at 2:42 AM
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PeptideSynthNJ
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Princeton, NJ
Nov 15, 2025 at 9:52 AM#28
TrialNerd_Beth said:
anders_CPH said: ...cardiovascular risk is just another fad...

Senior perspective on cardiovascular risk: I'm 69 years old and started this journey skeptically. My geriatrician recommended it after years of failed interventions.

9 months later: down 47 lbs, more mobile, pain reduced, medications simplified. My quality of life has improved dramatically. I wish this existed 20 years ago.

To other older adults hesitating: the SELECT trial proved benefit in our age group. You deserve to feel good in your body regardless of age.

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A1cHero_PHX
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Nov 17, 2025 at 11:00 PM#29

Following on from TrialNerd_Beth — and this may be the naive question:

Was that from a primary source or from a summary of one?

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NurseLeah_Nash
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Nashville, TN
Nov 20, 2025 at 12:07 PM#30
PeptideSynthNJ said:
Senior perspective on cardiovascular risk: I'm 69 years old and started this journey skeptically.

6 month update on cardiovascular risk: down 48 lbs, off blood pressure meds, A1C normalized. Genuinely life-changing.

40 15Dr.NateNeph, PharmD_Rodriguez, julia.endo and 37 others
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