Cardiovascular Diabetology最新文献

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Nanocarrier SIroliMus-coated balloon-based percutaneous coronary intervention (PCI) versus drug-eluting stent (DES)-onLy PCI in patients with diabetes mellitus. 纳米载体西罗莫司涂层球囊经皮冠状动脉介入治疗(PCI)与药物洗脱支架(DES)-仅PCI在糖尿病患者中的应用
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-03-04 DOI: 10.1186/s12933-026-03110-6
Mauro Gitto, Gaia Filiberti, Pier Pasquale Leone, Mauro Chiarito, Filippo Luca Gurgoglione, Francesco Tartaglia, Marco Frazzetto, Gianmaria Calamita, Marco Luciano Rossi, Valentina Bernardini, Bernhard Reimers, Damiano Regazzoli, Antonio Mangieri, Gabriele Gasparini, Carlo Briguori, Azeem Latib, Giulio G Stefanini, Cosmo Godino, Gennaro Sardella, Bernardo Cortese, Antonio Colombo
{"title":"Nanocarrier SIroliMus-coated balloon-based percutaneous coronary intervention (PCI) versus drug-eluting stent (DES)-onLy PCI in patients with diabetes mellitus.","authors":"Mauro Gitto, Gaia Filiberti, Pier Pasquale Leone, Mauro Chiarito, Filippo Luca Gurgoglione, Francesco Tartaglia, Marco Frazzetto, Gianmaria Calamita, Marco Luciano Rossi, Valentina Bernardini, Bernhard Reimers, Damiano Regazzoli, Antonio Mangieri, Gabriele Gasparini, Carlo Briguori, Azeem Latib, Giulio G Stefanini, Cosmo Godino, Gennaro Sardella, Bernardo Cortese, Antonio Colombo","doi":"10.1186/s12933-026-03110-6","DOIUrl":"10.1186/s12933-026-03110-6","url":null,"abstract":"<p><strong>Background: </strong>Diabetic patients undergoing percutaneous coronary intervention (PCI) frequently have complex coronary artery disease (CAD) and suboptimal outcomes with drug-eluting stents (DES). Sirolimus-coated balloons (SCB) have recently been introduced, but comparative data versus DES in diabetic patients with de novo CAD are lacking.</p><p><strong>Methods: </strong>The SIMPLE-DM study is a pooled analysis of five observational registries including all-comer diabetic patients undergoing PCI for de novo CAD. Patients in the SCB cohort were treated with the phospholipid nanocarrier Magic Touch SCB, while those in the DES cohort received current-generation DES. Propensity score (PS) adjustment was used to balance clinical and angiographic characteristics. The primary endpoint was the 2-year cumulative incidence of target lesion failure (TLF), defined as the composite of cardiac death, target vessel MI (TV-MI), or target lesion revascularization (TLR).</p><p><strong>Results: </strong>A total of 1838 patients were included, 599 treated with SCB-based PCI and 1239 with DES-only PCI. At 2 years, TLF occurred in 9.1% of SCB and 9.9% of DES patients (adj. hazard ratio HR 0.88, 95% confidence interval CI 0.43-1.81, p = 0.736). No significant differences were found in cardiac death, TV-MI or TLR. SCB-based PCI was associated with more favourable outcomes in patients with chronic kidney disease (p for interaction = 0.042) and long lesions (p for interaction = 0.003), whereas DES-only PCI performed better in those with short lesions.</p><p><strong>Conclusions: </strong>In diabetic patients undergoing PCI for de novo CAD, an SCB-based strategy was associated with comparable 2-year outcomes to DES-only PCI, with signals of potential benefit in the highest clinical and anatomical risk subsets.</p>","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":" ","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13045083/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic stratification of cardiovascular risk and cardiac remodeling in prediabetes: a multimodal analysis comparing ADA and WHO/IEC diagnostic criteria. 前驱糖尿病患者心血管风险和心脏重构的预后分层:比较ADA和WHO/IEC诊断标准的多模式分析
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-03-03 DOI: 10.1186/s12933-026-03123-1
Zhihao Zheng, Yanjun Song, Kongyong Cui, Jining He, Xiaohui Bian, Chenxi Song, Qiuting Dong, Chen Zhu, Rui Fu, Kefei Dou
{"title":"Prognostic stratification of cardiovascular risk and cardiac remodeling in prediabetes: a multimodal analysis comparing ADA and WHO/IEC diagnostic criteria.","authors":"Zhihao Zheng, Yanjun Song, Kongyong Cui, Jining He, Xiaohui Bian, Chenxi Song, Qiuting Dong, Chen Zhu, Rui Fu, Kefei Dou","doi":"10.1186/s12933-026-03123-1","DOIUrl":"10.1186/s12933-026-03123-1","url":null,"abstract":"<p><strong>Background: </strong>Prediabetes, an intermediate metabolic state preceding diabetes, independently accelerates cardiovascular pathology through dysglycemia-driven mechanisms. This study evaluates the heterogeneous cardiovascular risk stratification by directly comparing two major diagnostic criteria (ADA vs. WHO/IEC) and assesses the causal cardiovascular consequences of prediabetes, an area requiring further elucidation.</p><p><strong>Methods: </strong>After excluding participants with baseline cardiovascular disease, the remaining cohort with complete glycemic and relevant assessment data (n = 278,697) was stratified into normoglycemia, prediabetes, and type 2 diabetes mellitus (T2DM). Prediabetes was subsequently classified according to both ADA (fasting plasma glucose, FPG 5.6-6.9 mmol/L and/or glycosylated hemoglobin A1c, HbA1c 5.7-6.4%) and WHO/IEC (FPG 6.1-6.9 mmol/L and/or HbA1c 6.0-6.4%) criteria. Associations with incident cardiovascular disease (CVD), mortality, and cardiac remodeling (via cardiac magnetic resonance, CMR) were assessed using multivariable-adjusted models. Mendelian randomization (MR) tested causality of prediabetes on outcomes. All observational analyses were adjusted for key demographic, lifestyle, and clinical covariates.</p><p><strong>Results: </strong>Over 13.5 years, prediabetes-irrespective of criteria-elevated CVD risk (ADA: HR = 1.14, 95% CI 1.12-1.16; WHO/IEC: HR = 1.23, 95% CI 1.19-1.27), with stronger mortality associations in WHO/IEC-defined individuals. MR analyses confirmed that prediabetes was causally associated with increased CVD (OR 1.01, 95% CI 1.01-1.02), coronary heart disease (OR 1.09, 95% CI 1.02-1.17), myocardial infarction (OR 1.12, 95% CI 1.06-1.19), stroke (OR 1.06, 95% CI 1.02-1.10), and primary hypertension (OR 1.01, 95% CI 1.01-1.02) risks. In an exploratory CMR substudy (n = 2512), early concentric left ventricular remodeling was suggested, particularly under WHO/IEC criteria. Risks were consistently observed across genetic susceptibility strata, though the lack of significant interaction warrants cautious interpretation and further investigation into potential effect modifications.</p><p><strong>Conclusion: </strong>These findings highlight the differential prognostic utility of ADA and WHO/IEC criteria for cardiovascular risk stratification in prediabetes.</p>","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":" ","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SLC31A1 exon 1 methylation reduces intracellular copper ion and promotes diabetic cardiac fibrosis. SLC31A1外显子1甲基化减少细胞内铜离子并促进糖尿病心脏纤维化。
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-03-03 DOI: 10.1186/s12933-026-03124-0
Kai Song, Hao-Ran Geng, Zhen-Yu Liu, Li-Chan Lin, Bin Tu, He Sun, Sui Mao, Peng Liu, Xin Sun, Yan Shi, Hai-Yang Xuan, Jing-Jing Yang, Jian-Yuan Zhao, Hui Tao
{"title":"SLC31A1 exon 1 methylation reduces intracellular copper ion and promotes diabetic cardiac fibrosis.","authors":"Kai Song, Hao-Ran Geng, Zhen-Yu Liu, Li-Chan Lin, Bin Tu, He Sun, Sui Mao, Peng Liu, Xin Sun, Yan Shi, Hai-Yang Xuan, Jing-Jing Yang, Jian-Yuan Zhao, Hui Tao","doi":"10.1186/s12933-026-03124-0","DOIUrl":"10.1186/s12933-026-03124-0","url":null,"abstract":"","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":" ","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic stratification with composite insulin resistance-inflammation biomarkers in patients with chronic kidney disease and coronary artery disease across glycemic statuses. 慢性肾脏疾病和冠状动脉疾病患者血糖状态的复合胰岛素抵抗-炎症生物标志物预后分层
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-03-02 DOI: 10.1186/s12933-026-03108-0
Zixiang Ye, Enmin Xie, Chenxi Song, Rui Zhang, Haoyu Wang, Chao Wu, Kefei Dou
{"title":"Prognostic stratification with composite insulin resistance-inflammation biomarkers in patients with chronic kidney disease and coronary artery disease across glycemic statuses.","authors":"Zixiang Ye, Enmin Xie, Chenxi Song, Rui Zhang, Haoyu Wang, Chao Wu, Kefei Dou","doi":"10.1186/s12933-026-03108-0","DOIUrl":"10.1186/s12933-026-03108-0","url":null,"abstract":"<p><strong>Background: </strong>Patients with chronic kidney disease (CKD) and coronary artery diseases (CAD) have a poor long-term prognosis. Although insulin resistance (IR) and systemic inflammation are well-established drivers of cardiovascular risk, the prognostic value of their composite assessment across the glycemic spectrum in patients with CKD and CAD remains undetermined. This study aimed to evaluate the prognostic utility of composite IR-inflammation biomarkers for predicting mortality in patients with CKD and CAD stratified by glycemic status.</p><p><strong>Methods: </strong>1353 patients with CKD and CAD were enrolled from National Health and Nutrition Examination Survey (NHANES) data (1999-2018). Composite biomarkers (TyG-hsCRP, TyG-CRP, and C-reactive Protein-Triglyceride Glucose Index [CTI]) were calculated. Patients were categorized by glycemic status (normoglycemia, prediabetes, diabetes) based on WHO/IEC criteria. The endpoint was all-cause and cardiovascular disease (CVD) death. Statistical analyses included Cox regression, Nelson-Aalen cumulative hazard plots with Log-rank test, restricted cubic splines, ROC curves, and reclassification metrics, adjusted for demographics, comorbidities, and treatments. Subgroup and sensitivity analyses ensured robustness.</p><p><strong>Results: </strong>Over a median follow-up of 63-months, 744 all-cause and 323 CVD deaths occurred. Adjusted models showed elevated composite indices linked to higher mortality (e.g., CTI HR 1.43 [95% CI 1.24-1.65] for all-cause; HR 1.32 [1.06-1.64] for CVD). CTI provided good discrimination (AUC 0.700) and reclassification (IDI 0.010; NRI 0.196 for all-cause). The predictive utility of all three composite biomarkers was most pronounced in patients with diabetes, whereas CTI retained the strong association with all-cause mortality in normoglycemic and prediabetic patients. Risk stratification using both CTI and glycemic status identified patients with diabetes and high CTI as having the highest all-cause (HR 1.63 [1.22-2.17]) and CVD (HR 1.37 [0.88-2.14]) death risk.</p><p><strong>Conclusion: </strong>Composite biomarkers integrating IR and inflammation, particularly CTI, significantly enhance mortality prediction in patients with CKD and CAD. The predictive utility is modulated by underlying glycemic status, enabling refined risk stratification and potentially guiding tailored management strategies for this complex patient population.</p>","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":" ","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of the C-reactive protein-triglyceride-glucose index with metabolic dysfunction-associated steatotic liver disease and long-term all-cause and cardiovascular mortality: evidence from two nationwide prospective cohort studies. c反应蛋白-甘油三酯-葡萄糖指数与代谢功能障碍相关的脂肪变性肝病和长期全因死亡率和心血管死亡率的关联:来自两项全国前瞻性队列研究的证据
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-03-02 DOI: 10.1186/s12933-026-03119-x
Xue-Feng Jin, Zhao-Jie Su, Jian-Fa Zhong, Jie Wang, Bao-Jie Shi, Zhen-Yu Liu, Ping-Sui Li, Xing Xiong, Shi-Quan Xu, Cheng Qiu, Yi Xiao, Si-Bo Li, Wen-Hui Tong, Jing-Ping Ge, Hang-Xu Li, Xiao-Yan Liu, Zi-Zhi Li, Xiang-Rui Kong, Jun-Lin Chen, Xue-Jiao Wen, Pan Sun, Peng-Peng Chen, Yang-Yang Li, Yang Chen, Lan-Tian Mao, Zhi-Hai Peng, Hao Li, Tong Zhang
{"title":"Association of the C-reactive protein-triglyceride-glucose index with metabolic dysfunction-associated steatotic liver disease and long-term all-cause and cardiovascular mortality: evidence from two nationwide prospective cohort studies.","authors":"Xue-Feng Jin, Zhao-Jie Su, Jian-Fa Zhong, Jie Wang, Bao-Jie Shi, Zhen-Yu Liu, Ping-Sui Li, Xing Xiong, Shi-Quan Xu, Cheng Qiu, Yi Xiao, Si-Bo Li, Wen-Hui Tong, Jing-Ping Ge, Hang-Xu Li, Xiao-Yan Liu, Zi-Zhi Li, Xiang-Rui Kong, Jun-Lin Chen, Xue-Jiao Wen, Pan Sun, Peng-Peng Chen, Yang-Yang Li, Yang Chen, Lan-Tian Mao, Zhi-Hai Peng, Hao Li, Tong Zhang","doi":"10.1186/s12933-026-03119-x","DOIUrl":"10.1186/s12933-026-03119-x","url":null,"abstract":"<p><strong>Background: </strong>Metabolic dysfunction-associated steatotic liver disease (MASLD) is closely linked to cardiometabolic disorders, and cardiovascular disease is the leading cause of death among affected individuals. Identifying simple biomarkers that capture metabolic-inflammatory burden and predict long-term mortality in MASLD remains a clinical priority. The C-reactive protein-triglyceride-glucose index (CTI) integrates inflammation, dyslipidaemia, and glycaemic status, but its relevance to MASLD and long-term mortality has not been fully elucidated.</p><p><strong>Methods: </strong>We conducted a multi-stage investigation using two nationally representative cohorts from the United States and China. Cross-sectional associations between CTI and MASLD were assessed in the National Health and Nutrition Examination Survey (NHANES) and the China Health and Retirement Longitudinal Study (CHARLS). Prospective associations of CTI with cardiovascular and all-cause mortality among participants with MASLD were examined utilising multivariable Cox proportional hazards models, restricted cubic splines, threshold analyses, and competing risk models. Causal mediation analyses were performed to measure the mediating functions of diabetes, hypertension, and body mass index. Extensive sensitivity analyses using alternative MASLD definitions and analytic strategies were conducted to assess robustness. Results from NHANES were externally validated in CHARLS.</p><p><strong>Results: </strong>Higher CTI levels were strongly and nonlinearly associated with the presence of MASLD in both cohorts. Among individuals with MASLD, elevated CTI was associated with significantly increased risks of all-cause and cardiovascular mortality. Each unit increase in CTI in NHANES was linked to a 57% increased risk of cardiovascular death (HR 1.57, 95% CI 1.24-1.99) and a 47% increased risk of all-cause death (hazard ratio [HR] 1.47, 95% confidence interval [CI] 1.28-1.69) in fully adjusted models. A pronounced threshold effect was observed, with mortality risk rising sharply once CTI exceeded approximately 5.6. Consistent associations with all-cause mortality were observed in CHARLS. Mediation analyses indicated that diabetes accounted for a substantial proportion of the association between CTI and mortality, whereas body mass index played a minimal mediating role.</p><p><strong>Conclusions: </strong>CTI is a robust metabolic-inflammatory marker associated with MASLD and long-term all-cause and cardiovascular mortality across diverse populations. The strong mediating role of diabetes underscores the central importance of glycaemic dysfunction in cardiometabolic risk. As a readily obtainable index, CTI may aid in cardiometabolic risk stratification among individuals with MASLD.</p>","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":" ","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12961832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147343701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Prognostic role of sarcopenia in heart failure patients. 更正:心肌减少症对心力衰竭患者预后的影响。
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-02-28 DOI: 10.1186/s12933-026-03118-y
Giuseppe Armentaro, Cristiana Vitale, Velia Cassano, Marcello Magurno, Alberto Panza, Maria Rosangela Scarcelli, Carlo Alberto Pastura, Giandomenico Severini, Elisa Mazza, Marta Letizia Hribal, Francesco Andreozzi, Arturo Pujia, Tiziana Montalcini, Giuseppe Massimo Claudio Rosano, Angela Sciacqua
{"title":"Correction: Prognostic role of sarcopenia in heart failure patients.","authors":"Giuseppe Armentaro, Cristiana Vitale, Velia Cassano, Marcello Magurno, Alberto Panza, Maria Rosangela Scarcelli, Carlo Alberto Pastura, Giandomenico Severini, Elisa Mazza, Marta Letizia Hribal, Francesco Andreozzi, Arturo Pujia, Tiziana Montalcini, Giuseppe Massimo Claudio Rosano, Angela Sciacqua","doi":"10.1186/s12933-026-03118-y","DOIUrl":"10.1186/s12933-026-03118-y","url":null,"abstract":"","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":"25 1","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12949496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147316116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative efficacy of tirzepatide and glucagon-like peptide-1 receptor agonists on cardiovascular outcomes in patients with type 2 diabetes: a systematic review and network meta-analysis. 替西肽和胰高血糖素样肽-1受体激动剂对2型糖尿病患者心血管预后的比较疗效:系统综述和网络荟萃分析
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-02-27 DOI: 10.1186/s12933-026-03113-3
Arveen Shokravi, Jayant Seth, G B John Mancini
{"title":"Comparative efficacy of tirzepatide and glucagon-like peptide-1 receptor agonists on cardiovascular outcomes in patients with type 2 diabetes: a systematic review and network meta-analysis.","authors":"Arveen Shokravi, Jayant Seth, G B John Mancini","doi":"10.1186/s12933-026-03113-3","DOIUrl":"10.1186/s12933-026-03113-3","url":null,"abstract":"<p><strong>Background: </strong>Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are widely used therapies for cardiovascular risk reduction in type 2 diabetes (T2D). With the emergence of the SURPASS-CVOT trial, tirzepatide (a dual GIP/GLP-1 receptor agonist) has entered the therapeutic landscape; however, its comparative effect on cardiovascular outcomes compared to placebo and individual GLP-1RAs remains undefined.</p><p><strong>Methods: </strong>We conducted a systematic review and frequentist network meta-analysis (NMA) of RCTs enrolling adults with type 2 diabetes (T2D) and established atherosclerotic cardiovascular disease (ASCVD) or high cardiovascular (CV) risk. Eligible RCTs evaluated tirzepatide or GLP-1RAs and reported major adverse cardiovascular events (MACE), CV mortality, all-cause mortality, non-fatal myocardial infarction (MI) or non-fatal stroke. A class-level NMA was conducted to estimate the incremental benefit of tirzepatide and GLP-1RAs over placebo, and an agent-level NMA was conducted to explore differences between tirzepatide and individual GLP-1RA agents. Subgroup analyses, including established cardiovascular disease populations, and leave-one-out sensitivity analyses were performed.</p><p><strong>Results: </strong>Eleven trials met inclusion criteria (10 GLP-1RA trials and 1 tirzepatide trial [SURPASS-CVOT]). In the class-level analysis, tirzepatide significantly reduced MACE (HR 0.79, 95% CI 0.69-0.91), CV mortality (HR 0.77, 95% CI 0.66-0.90), all-cause mortality (HR 0.74, 95% CI 0.65-0.83), non-fatal MI (HR 0.77, 95% CI 0.61-0.97), and non-fatal stroke (HR 0.79, 95% CI 0.64-0.97) compared to placebo. Formal statistical comparisons between tirzepatide and the GLP-1RA class could not be performed within the constraints of the NMA; however, point estimates across outcomes numerically favored tirzepatide compared with placebo. In the agent-level analysis, tirzepatide reduced MACE compared to placebo (HR 0.81, 95% CI 0.70-0.94) and lixisenatide (HR 0.79, 95% CI 0.65-0.97). Subgroup and sensitivity analyses did not substantially change point estimates.</p><p><strong>Conclusion: </strong>Among adults with T2D and established ASCVD or high CV risk, class-level analysis demonstrated that tirzepatide significantly reduced the risk of cardiovascular events compared to placebo; at the agent-level, tirzepatide demonstrated comparable efficacy to individual GLP-1RAs. These findings suggest that tirzepatide provides cardiovascular benefit at least comparable to established GLP-1RAs, supporting its emerging role in cardiovascular risk reduction in T2D.</p>","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":" ","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147316485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Circulating protein biomarkers of physical fitness associated with cardiometabolic risk in women after gestational diabetes: a PONCH study. 妊娠期糖尿病后女性身体健康与心脏代谢风险相关的循环蛋白生物标志物:一项PONCH研究
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-02-27 DOI: 10.1186/s12933-026-03120-4
Emilia Kristiansson, Agneta Holmäng, Kristina Wallenius, H Sophia Chung, Sonja Hess, Stefan Pettersson, Klavs Madsen, Ulrika Andersson-Hall
{"title":"Circulating protein biomarkers of physical fitness associated with cardiometabolic risk in women after gestational diabetes: a PONCH study.","authors":"Emilia Kristiansson, Agneta Holmäng, Kristina Wallenius, H Sophia Chung, Sonja Hess, Stefan Pettersson, Klavs Madsen, Ulrika Andersson-Hall","doi":"10.1186/s12933-026-03120-4","DOIUrl":"10.1186/s12933-026-03120-4","url":null,"abstract":"","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":" ","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147316465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Metabolic dysfunction-associated steatotic liver disease is associated with vascular dysfunction in type 1 diabetes. 代谢功能障碍相关脂肪变性肝病与1型糖尿病血管功能障碍相关
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-02-25 DOI: 10.1186/s12933-026-03114-2
Jonathan Mertens, Tibor Stoop, Eveline Dirinck, Sven Francque, Hilde Heuten, Christophe De Block
{"title":"Metabolic dysfunction-associated steatotic liver disease is associated with vascular dysfunction in type 1 diabetes.","authors":"Jonathan Mertens, Tibor Stoop, Eveline Dirinck, Sven Francque, Hilde Heuten, Christophe De Block","doi":"10.1186/s12933-026-03114-2","DOIUrl":"10.1186/s12933-026-03114-2","url":null,"abstract":"<p><strong>Background & aims: </strong>Metabolic dysfunction-associated steatotic liver disease (MASLD) is linked to atherosclerotic cardiovascular disease (ASCVD). Markers of arterial stiffness and subclinical atherosclerosis (carotid-femoral pulse wave velocity [cfPWV], and carotid-intima media thickness [CIMT]) and endothelial dysfunction (flow-mediated dilation [FMD], nitroglycerine-induced dilation [NID]) are potential ASCVD predictors. This study examined the correlation between vasculopathy and MASLD in type 1 diabetes (T1D).</p><p><strong>Methods: </strong>We conducted cross-sectional vascular assessments in non-smoking adults with T1D without ASCVD. MASLD was determined by ultrasound and transient elastography. FIB-4 was calculated as a marker of fibrosis. ASCVD risk scores were assessed using the Steno Type 1 Risk Engine. Subjects were included in a 2:1 control-to-case ratio and matched for age and diabetes duration.</p><p><strong>Results: </strong>We examined 105 subjects, of whom 30 had MASLD. Mean age was 51.7 ± 15.7 years, mean diabetes duration was 29.9 ± 14.3 years. 50% were male, mean HbA1c was 55.1 ± 9.5 mmol/mol (7.2 ± 0.9%). MASLD was associated with lower NID (15.3 ± 6.3 vs. 20.1 ± 7.5%, p = 0.003). NID and cfPWV were more often impaired in people with MASLD (53.3% vs. 28.4%, p = 0.018, 56.7% vs. 35.1%, p = 0.043, respectively). In adjusted multivariable logistic regression, MASLD was associated with increased cfPWV (OR 8.30, 95% CI 1.25-55.2, p = 0.029), as was age, sex and mean arterial pressure. cfPWV and CIMT strongly correlated with 5-year ASCVD risk (cfPWV ρ = 0.76, CIMT ρ = 0.81, p < 0.001), as did FIB-4 (ρ = 0.74, p < 0.001). CIMT (0.93), cfPWV (0.88) and FIB-4 (0.88) yielded the highest AUROC to identify significant ASCVD risk.</p><p><strong>Conclusions: </strong>cfPWV is the most robust vascular marker associated with MASLD in people with T1D. cfPWV, CIMT and FIB-4 correlated strongly to incident 5-year ASCVD risk. Sven Francque, Hilde Heuten and Christophe De Block have claimed equal senior authorship.</p>","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":" ","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147302678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Opposing functions of miR-155-5p and Socs1 drive vascular inflammation in diabetes-accelerated atherosclerosis. 在糖尿病加速动脉粥样硬化中,miR-155-5p和Socs1的相反功能驱动血管炎症。
IF 10.6 1区 医学
Cardiovascular Diabetology Pub Date : 2026-02-24 DOI: 10.1186/s12933-026-03121-3
María Kavanagh, Isabel Herrero Del Real, Ignacio Prieto, Raquel Alvarez-Moreno, Jesus Egido, Oscar Lopez-Franco, Iolanda Lázaro, Carmen Gomez-Guerrero
{"title":"Opposing functions of miR-155-5p and Socs1 drive vascular inflammation in diabetes-accelerated atherosclerosis.","authors":"María Kavanagh, Isabel Herrero Del Real, Ignacio Prieto, Raquel Alvarez-Moreno, Jesus Egido, Oscar Lopez-Franco, Iolanda Lázaro, Carmen Gomez-Guerrero","doi":"10.1186/s12933-026-03121-3","DOIUrl":"10.1186/s12933-026-03121-3","url":null,"abstract":"","PeriodicalId":9374,"journal":{"name":"Cardiovascular Diabetology","volume":" ","pages":""},"PeriodicalIF":10.6,"publicationDate":"2026-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13040752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147282807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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