Obesity in patients without diabetes undergoing coronary artery bypass graft surgery: Time to select patients for semaglutide

Obes Res Clin Pract. 2024 Jan-Feb;18(1):76-78. doi: 10.1016/j.orcp.2024.02.001. Epub 2024 Feb 7.

Abstract

Patients undergoing coronary artery bypass graft (CABG) surgery require intensive secondary prevention. Semaglutide reduced cardiovascular events in patients with cardiovascular disease and overweight or obesity but without diabetes in the SELECT trial. In this real-world study of 1386 patients without diabetes undergoing CABG surgery in an Australian hospital, approximately 1 in 2 patients (53.3 %) were potentially eligible for semaglutide based on the SELECT trial criteria. These findings highlight that a significant percentage of this very high-risk cohort merit receiving semaglutide for weight management and cardiovascular risk reduction. The implications for optimal care, healthcare costs and clinical guidelines require further evaluation.

Keywords: Cardiac surgical procedures; Cardiovascular disease; Obesity; Overweight; Weight loss.

Publication types

  • Letter

MeSH terms

  • Australia / epidemiology
  • Coronary Artery Bypass
  • Diabetes Mellitus*
  • Glucagon-Like Peptides*
  • Humans
  • Obesity* / complications
  • Obesity* / surgery

Substances

  • semaglutide
  • Glucagon-Like Peptides