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. 2023 May 26;15(5):229–243. doi: 10.4330/wjc.v15.i5.229

Table 2.

Impact of various antidiabetic agents on the burden of atrial fibrillation and coronary artery disease and their surrogate endpoints

Antidiabetic drug class
Impact on AF burden/ surrogate end points
Impact on CAD burden/ surrogate end points
Insulin[71] Increased (↑) Neutral or increased (-/↑)
Metformin[72] Reduced (↓) Reduced (↓)
Sulfonylureas[71] Neutral (-/↑) Increased (↑↑)
Thiazolidinediones[73] Reduced or neutral (-/↓) Increased (↑↑)
DPP-4 inhibitors[74] Reduced (-/↓) Reduced (↓)
GLP-1 receptor agonists[75] Neutral or slightly increased (-/↑) Reduced (↓↓)
SGLT-2 inhibitors[76] Reduced (↓↓) Reduced (↓↓↓)

AF: Atrial fibrillation; CAD: Coronary artery disease; DPP-4: Dipeptidyl peptidase-4; GLP-1: Glucagon-like peptide 1; SGLT-2: Sodium-glucose cotransporter-2.