Effects of DPP4 Inhibitor in Platelet Reactivity and Other Cardiac Risk Markers in Patients with Type 2 Diabetes and Acute Myocardial Infarction Article Swipe
Paulo Genestreti
,
Remo Holanda de Mendonça Furtado
,
Rocío Salsoso
,
Talia Falcão Dalçóquio
,
André Franci
,
Fernando Menezes
,
Cesar Caporrino
,
Aline Ferrari
,
Carlos Alberto Kenji Nakashima
,
Marco Scanavini Filho
,
Felipe Gallego Lima
,
Roberto R. Giraldez
,
Luciano Baracioli
,
José Carlos Nicolau
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/jcm11195776
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/jcm11195776
Background: The management of acute myocardial infarction (AMI) presents several challenges in patients with diabetes, among them the higher rate of recurrent thrombotic events, hyperglycemia and risk of subsequent heart failure (HF). The objective of our study was to evaluate effects of DPP-4 inhibitors (DPP-4i) on platelet reactivity (main objective) and cardiac risk markers. Methods: We performed a single-center double-blind randomized trial. A total of 70 patients with type 2 diabetes (T2DM) with AMI Killip ≤2 on dual-antiplatelet therapy (aspirin plus clopidogrel) were randomized to receive sitagliptin 100 mg or saxagliptin 5 mg daily or matching placebo. Platelet reactivity was assessed at baseline, 4 days (primary endpoint) and 30 days (secondary endpoint) after randomization, using VerifyNow Aspirin™ assay, expressed as aspirin reaction units (ARUs); B-type natriuretic peptide (BNP) in pg/mL was assessed at baseline and 30 days after (secondary endpoint). Results: Mean age was 62.6 ± 8.8 years, 45 (64.3%) male, and 52 (74.3%) of patients presented with ST-segment elevation MI. For primary endpoint, there were no differences in mean platelet reactivity (p = 0.51) between the DPP-4i (8.00 {−65.00; 63.00}) and placebo (−14.00 {−77.00; 52.00}) groups, as well in mean BNP levels (p = 0.14) between DPP-4i (−36.00 {−110.00; 15.00}) and placebo (−13.00 {−50.00; 27.00}). There was no difference between groups in cardiac adverse events. Conclusions: DPP4 inhibitor did not reduce platelet aggregation among patients with type 2 diabetes hospitalized with AMI. Moreover, the use of DPP-4i did not show an increase in BNP levels or in the incidence of cardiac adverse events. These findings suggests that DPP-4i could be an option for management of T2DM patients with acute MI.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm11195776
- https://www.mdpi.com/2077-0383/11/19/5776/pdf?version=1664448615
- OA Status
- gold
- Cited By
- 6
- References
- 50
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4297982679
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4297982679Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/jcm11195776Digital Object Identifier
- Title
-
Effects of DPP4 Inhibitor in Platelet Reactivity and Other Cardiac Risk Markers in Patients with Type 2 Diabetes and Acute Myocardial InfarctionWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-09-29Full publication date if available
- Authors
-
Paulo Genestreti, Remo Holanda de Mendonça Furtado, Rocío Salsoso, Talia Falcão Dalçóquio, André Franci, Fernando Menezes, Cesar Caporrino, Aline Ferrari, Carlos Alberto Kenji Nakashima, Marco Scanavini Filho, Felipe Gallego Lima, Roberto R. Giraldez, Luciano Baracioli, José Carlos NicolauList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm11195776Publisher landing page
- PDF URL
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https://www.mdpi.com/2077-0383/11/19/5776/pdf?version=1664448615Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2077-0383/11/19/5776/pdf?version=1664448615Direct OA link when available
- Concepts
-
Medicine, Internal medicine, Myocardial infarction, Clinical endpoint, Aspirin, Placebo, Type 2 diabetes, Cardiology, Saxagliptin, Sitagliptin, Clopidogrel, Diabetes mellitus, Randomized controlled trial, Gastroenterology, Endocrinology, Pathology, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
6Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2023: 4Per-year citation counts (last 5 years)
- References (count)
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50Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.a | 57 |
| abstract_inverted_index.(p | 172, 193 |
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| abstract_inverted_index.MI. | 160, 270 |
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| abstract_inverted_index.use | 235 |
| abstract_inverted_index.was | 37, 99, 130, 143, 207 |
| abstract_inverted_index.62.6 | 144 |
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| abstract_inverted_index.DPP4 | 217 |
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| abstract_inverted_index.(BNP) | 127 |
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| abstract_inverted_index.(main | 48 |
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| abstract_inverted_index.0.51) | 174 |
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| abstract_inverted_index.Killip | 74 |
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| abstract_inverted_index.(74.3%) | 153 |
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| abstract_inverted_index.63.00}) | 180 |
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| corresponding_author_ids | https://openalex.org/A5000380712 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 14 |
| corresponding_institution_ids | https://openalex.org/I4210145268 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
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| sustainable_development_goals[0].display_name | Good health and well-being |
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| citation_normalized_percentile.is_in_top_10_percent | False |