scholarly journals Effects of the season on physiological and endocrine traits and on HSP70 in Saanen goats under Mediterranean climate conditions

2018 ◽  
Vol 74 (1) ◽  
pp. 39-47
Author(s):  
MURAT YILMAZ ◽  
TUFAN ALTIN ◽  
FUNDA KIRAL ◽  
TURGAY TAŞKIN ◽  
GAMZE SEVRI EKREN AŞICI ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heat Stress ◽  
Thermal Stress ◽  
Rectal Temperature ◽  
Mediterranean Climate ◽  
Winter Season ◽  
Climatic Data ◽  
Climate Conditions ◽  
Significant Difference ◽  
The Impact

This study was conducted to determine the impact of heat stress on some physiological and endocrine traits in Saanen goats raised under Mediterranean climate conditions. The effects of thermal stress on heart rate (HR), respiration rate (RR) and rectal temperature (RT) on plasma total trii-odothyronine (T3), thyroxine (T4), Cortisol (C), and HSP70 concentrations were evaluated on twenty two Saanen goats of different ages in the second week of April 2013, July 2013, October 2013 and January 2014. Climatic data such as temperature (°C) and relative humidity (%) were recorded from Spring 2013 to Winter 2014. Live body and BCS values were also recorded during this period. The physiological parameters above were measured twice on each experiment day (morning and afternoon) in all seasons. Blood samples were collected in each afternoon of the experiment day to analyze T3, T4 C, and HSP70. All data were analyzed. According to the values of rectal temperature (RT), it was estimated that the goats were under extreme heat stress only in the summer season. The heart rate (HR) values in the winter season for morning and noon periods were found statistically significant (p < 0.05). The average respiratory rate (RR) in the spring season was found significantly lower. On the other hand, the RR for the noon period in the summer was higher than in the fall and winter seasons (p < 0.05). There was a significant difference (p < 0.05) between summer and fall seasons for C values. The highest value (96.62 ng/ml) was obtained in spring, whereas the lowest (60.58 ng/ml) in the fall. T3 levels in the fall and winter were found to be statistically significant (p < 0.05). They were the highest in the winter and spring, and the lowest in fall. T4 and T4/T3 levels in the winter were found to be statistically higher than in other seasons (p < 0.05). The lowest value for T4 was found in the fall and for T4/T3 in summer. Mean HSP70 value in spring was found to be statistically low (p < 0.05). The changes in THI values in different seasons, particularly between mornings and afternoons, indicated that thermal stress was evident, and that the animals became resistant to it eventually. The fluctuations of the C, T3, T4 and HSP70 values were indicators of the animals’ reaction to thermal stress. The THI values in spring, which were between 16 and 18 THI, may be considered within the ideal comfort zone for goats. It was observed that Saanen goats were able to adapt to seasonal weather changes in the environmental conditions of the region....

Modifying effects of the R389G β1-adrenoceptor polymorphism on resting heart rate and blood pressure in patients with obstructive sleep apnoea

2005 ◽  
Vol 110 (1) ◽  
pp. 117-123 ◽  
Author(s):  
Jan Börgel ◽  
Tino Schulz ◽  
Nina K. Bartels ◽  
Jörg T. Epplen ◽  
Nikolaus Büchner ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Obstructive Sleep Apnoea ◽  
Nervous Activity ◽  
Sleep Apnoea ◽  
Cpap Therapy ◽  
Pressure Therapy ◽  
Obstructive Sleep ◽  
Significant Difference ◽  
The Impact

OSA (obstructive sleep apnoea) stimulates sympathetic nervous activity and elevates resting HR (heart rate) and BP (blood pressure). In the present study in a cohort of 309 untreated OSA patients, the resting HR and BP during the daytime were correlated with AHI (apnoea/hypopnea index) and compared with patients with R389R (n=162), R389G (n=125) and G389G (n=22) genotypes of the β1-adrenoreceptor R389G polymorphism. We analysed the impact of the genotype on the decline of HR and BP in a subgroup of 148 patients (R389R, n=86; R389G, n=54; G389G, n=8) during a 6-month follow-up period under CPAP (continuous positive airway pressure) therapy during which cardiovascular medication remained unchanged. In untreated OSA patients, we found an independent relationship between AHI and resting HR (β=0.096, P<0.001), systolic BP (β=0.09, P=0.021) and diastolic BP (β=0.059, P=0.016). The resting HR/BP, however, did not differ among carriers with the R389R, R389G and G389G genotypes. CPAP therapy significantly reduced HR [−2.5 (−1.1 to −4.0) beats/min; values are mean difference (95% confidence intervals)] and diastolic BP [−3.2 (−1.5 to −5.0) mmHg]. The decline in HR was more significantly pronounced in the R389R group compared with the Gly389 carriers [−4.1 (−2.3 to −5.9) beats/min (P<0.001) compared with −0.2 (2.1 to −2.6) beats/min (P=0.854) respectively; Student's t test between groups, P=0.008]. Diastolic BP was decreased significantly (P<0.001) only in Gly389 carriers (R389G or G389G) compared with R389R carriers [−5.0 (−2.3 to −7.6) mmHg compared with −2.0 (0.4 to −4.3) mmHg respectively]. ANOVA revealed a significant difference (P=0.023) in HR reduction between the three genotypes [−4.1 (±8.4) beats/min for R389R, −0.5 (±9.3) beats/min for R389G and +1.9 (±7.2) beats/min for G389G]. In conclusion, although the R389G polymorphism of the β1-adrenoceptor gene did not influence resting HR or BP in untreated OSA patients, it may modify the beneficial effects of CPAP therapy on these parameters.

Biological Rhythmicity in Preterm Infants Prior to Discharge From Neonatal Intensive Care

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 231-237
Author(s):  
Steven F. Glotzbach ◽  
Dale M. Edgar ◽  
Ronald L. Ariagno
Keyword(s):  
Heart Rate ◽  
Intensive Care ◽  
Preterm Infants ◽  
Rectal Temperature ◽  
Neonatal Intensive Care ◽  
Time Of Day ◽  
Circadian System ◽  
Physiological Variables ◽  
Postconceptional Age ◽  
The Impact

Objective. The study of biological rhythms and the influence of environmental factors in the timing and synchronization of different rhythmic events have important implications for neonatal health. Preterm infants in the neonatal intensive care unit (NICU) are deprived of the patterned influences of maternal sleep, temperature, heart rate, and hormonal cycles. The impact of the NICU and nursing interventions on the development of the circadian system was studied in 17 stable preterm infants in the Intermediate Intensive Care Nursery at Stanford University for three consecutive days at about 35 weeks postconceptional age. Outcome measurements. Rectal temperature, abdominal skin temperature, heart rate, and activity were simultaneously recorded at 2-minute intervals during each 3-day study by a small microcomputer (Vitalog). Results. Very low amplitude circadian rhythms were found for rectal and skin temperatures (maximum range 36.8 to 37.0°C); population mean values for heart rate (158 bpm) and activity (3.5 counts per 2-min bin) did not differ significantly as a function of time of day. Rectal temperature, averaged in 6-hour bins over the 24-hour day as a function of both postconceptional age and postnatal age, was significantly higher during the first part of the circadian cycle. In all infants, rhythmicity in each variable was dominated by ultradian periodicities that were coincident with feedings and related interventions; moreover, several physiological variables charted during feeding differed significantly from values obtained during periods in which caregiving interventions did not occur. Conclusion. Quantitative data on the preterm infant circadian system may facilitate evaluation of factors that improve therapeutic responses, recovery, and outcome of neonatal intensive care patients.

Study on Comparison Between Lignocaine and Lignocaine-Xylazine on Caudal Epidural Injection on Fogera Breed Cow in Gondar University Dairy Farm

2021 ◽  
Author(s):  
Endalkachew hailu ◽  
Gashaw Kasse
Keyword(s):  
Heart Rate ◽  
Respiratory Rate ◽  
Rectal Temperature ◽  
Epidural Anesthesia ◽  
Physiological Parameters ◽  
Additive Effect ◽  
Group I ◽  
Significant Difference ◽  
Group Ii ◽  
Caudal Epidural

Abstract Background: Caudal epidural anesthesia commonly utilized in veterinary practice to allow diagnostic, obstetrical, and surgical interventions in the perineal region of cows. An experimental study conducted on epidural anesthesia from October 2018 to March 2019 on 6 cows with repeated treatments after one week by two groups of anesthetic drugs. Methods and materias First Lignocaine is given for Group-I of cows in the first intercoccygeal space and then the same animals after one week injected Lignocaine-Xylazine together in the intercoccygeal space. The Clinical-physiological parameters such as the onset of analgesia, duration of analgesia, ataxia, sedation, heart rate, respiratory rate, and rectal temperature between the two groups studied by compression. Finally, the significance of the change in the study unit between Lignocaine and Lignocaine-Xylazine analyzed according to SPSS version 19 for t-test and P-value <0.05 taken as statistically significant. Results: There was no significant change that appeared between the onset of analgesia of Lignocaine (4.3±0.6min) alone and Lignocaine-Xylazine (4.9±1.1min) injection together (t=1.17; P>0.05). This indicates that the addition of Xylazine to Lignocaine does not significantly delay the onset of anesthesia. However, there was a significant difference observed in the duration of analgesia between two groups (t=13.2; P<0.05) with Lignocaine-Xylazine (259.5±12.38min) longer duration than Lignocaine alone (84±4.05min). This indicates that Lignocaine and Xylazine have an additive effect on the duration of analgesia. In the case of physiological parameters, there were significant variations in heart rate (t=7.5; P<0.05) with Group II cows lower in heart rate than Group I cows. Statistically, a significant difference was also observed on respiratory rate (t=2.13; P<0.05) in which the addition of Xylazine on Lignocaine significantly lower breathing rate than Lignocaine injection alone. Finally, on rectal temperature, there was no statistically significant difference appeared (t=1.7; P>0.005) with rectal temperature in Group I cows (0.15± 0.28 OC) and in Group II cows (0.9±0.31 OC) which indicate that addition of Xylazine to Lignocaine lower rectal temperature similar to Lignocaine injection alone. Mild ataxia was observed in three groups I, cows, and there was no sedation and salivation noted at all. In Group II, cows mild to severe ataxia, deep sedation, salivation, and falling observed. In both groups, there was no anesthetic complication during epidural analgesia and after recovery noted.Conclusion: generally this study showed that, combination of Lignocaine and Xylazine have an additive effect on the duration and quality of analgesia.

scholarly journals 262 Heat stress alleviation and dynamic temperature measurement for growing beef cattle

2020 ◽  
Vol 98 (Supplement_4) ◽  
pp. 192-193
Author(s):  
Sheyenne M Augenstein ◽  
Meredith A Harrison ◽  
Sarah C Klopatek ◽  
James W Oltjen
Keyword(s):  
Heat Stress ◽  
Body Temperature ◽  
Beef Cattle ◽  
Ambient Temperature ◽  
The Body ◽  
Control Group ◽  
Temperature Threshold ◽  
Sprinkler Systems ◽  
Significant Difference ◽  
The Impact

Abstract Heat stress continues to be a challenge for feedlot producers, forcing physiological adaptations in beef cattle that can have a negative impact on gain and carcass quality. Feedlots may want to incorporate systems that aid in mitigating heat stress, including sprinkler systems, which are commonly found on dairies. The objective of this study was to determine the impact of sprinkler systems on the body temperature of growing feedlot steers applied at three different temperature thresholds. Thirty-two Angus-cross beef steers (298 ± 15 SD days of age) were randomly assigned to 8 pens. Treatments were assigned to pens according to location to avoid drainage issues, with one replicate located on the eastern side of the feedlot and the other replicate located on the western side. Treatments including no sprinklers (C), high temperature threshold sprinklers (HT), moderate temperature threshold sprinklers (MT) or low temperature threshold sprinklers (LT). Sprinklers (flow rate: 5.11 L/min) were activated at 33°C (HT), 28°C (MT), and 23°C (LT) for five minutes at corresponding temperatures every thirty minutes for 57 days. Rectal temperature of steers in their pens was measured in the morning (0800 h), afternoon (1500 h), and evening (1900 h) three days each week (Monday, Wednesday, Friday) for a total of 19 experimental days. Weather measurements, including ambient temperature, windspeed, humidity and solar radiation were recorded at each measurement time along with the maximum values for each day. The change in body temperature (ΔBT) between the morning and afternoon was affected by ambient temperature (P &lt; 0.01); MT (P = 0.02) and LT (P = 0.02) – different than C. There was no significant difference between sprinkler treatments and the control group (P &gt; 0.05). Day affected (ΔBT) between the morning and afternoon (P &lt; 0.05) and the afternoon and evening (P &lt; 0.05). When averaged by day, the control group was significantly higher than MT (P = 0.04) between the morning and afternoon. The control group was also significantly higher than LT between the morning and afternoon (P = 0.03) and the afternoon and evening (P &lt; 0.01). The change in steer body temperature between afternoon and morning was affected by ambient temperature, and averaged across days, lowering the temperature threshold for sprinkling decreased in the afternoon and evening body temperature increase in steers.

scholarly journals Future Changes in Human-Biometeorological Index Classes in Three Regions of Luxembourg, Western-Central Europe

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Hanna Leona Lokys ◽  
Jürgen Junk ◽  
Andreas Krein
Keyword(s):  
Climate Change ◽  
Heat Stress ◽  
Thermal Stress ◽  
Thermal Comfort ◽  
Central Europe ◽  
Spatial Resolution ◽  
Climate Index ◽  
Human Thermal Comfort ◽  
Air Temperatures ◽  
The Impact

Projected climate change will cause increasing air temperatures affecting human thermal comfort. In the highly populated areas of Western-Central Europe a large population will be exposed to these changes. In particular Luxembourg—with its dense population and the large cross-border commuter flows—is vulnerable to changing thermal stress. Based on climate change projections we assessed the impact of climate change on human thermal comfort over the next century using two common human-biometeorological indices, the Physiological Equivalent Temperature and the Universal Thermal Climate Index. To account for uncertainties, we used a multimodel ensemble of 12 transient simulations (1971–2098) with a spatial resolution of 25 km. In addition, the regional differences were analysed by a single regional climate model run with a spatial resolution of 1.3 km. For the future, trends in air temperature, vapour pressure, and both human-biometeorological indices could be determined. Cold stress levels will decrease significantly in the near future up to 2050, while the increase in heat stress turns statistically significant in the far future up to 2100. This results in a temporarily reduced overall thermal stress level but further increasing air temperatures will shift the thermal comfort towards heat stress.

Measurement of heat stress conditions at cow level and comparison to climate conditions at stationary locations inside a dairy barn

2016 ◽  
Vol 83 (3) ◽  
pp. 305-311 ◽  
Author(s):  
Laura K Schüller ◽  
Wolfgang Heuwieser
Keyword(s):  
Heat Stress ◽  
Great Distance ◽  
Stress Conditions ◽  
Climate Conditions ◽  
Air Supply ◽  
Increased Risk ◽  
Climatic Environment ◽  
Wide Range ◽  
Significant Difference ◽  
Humidity Index

The objectives of this study were to examine heat stress conditions at cow level and to investigate the relationship to the climate conditions at 5 different stationary locations inside a dairy barn. In addition, we compared the climate conditions at cow level between primiparous and multiparous cows for a period of 1 week after regrouping. The temperature-humidity index (THI) differed significantly between all stationary loggers. The lowest THI was measured at the window logger in the experimental stall and the highest THI was measured at the central logger in the experimental stall. The THI at the mobile cow loggers was 2·33 THI points higher than at the stationary loggers. Furthermore, the mean daily THI was higher at the mobile cow loggers than at the stationary loggers on all experimental days. The THI in the experimental pen was 0·44 THI points lower when the experimental cow group was located inside the milking parlour. The THI measured at the mobile cow loggers was 1·63 THI points higher when the experimental cow group was located inside the milking parlour. However, there was no significant difference for all climate variables between primiparous and multiparous cows. These results indicate, there is a wide range of climate conditions inside a dairy barn and especially areas with a great distance to a fresh air supply have an increased risk for the occurrence of heat stress conditions. Furthermore, the heat stress conditions are even higher at cow level and cows not only influence their climatic environment, but also generate microclimates within different locations inside the barn. Therefore climate conditions should be obtained at cow level to evaluate the heat stress conditions that dairy cows are actually exposed to.

scholarly journals Borderless Heat Stress

2021 ◽  
Author(s):  
Chloe Brimicombe ◽  
Claudia Di Napoli ◽  
Rosalind Cornforth ◽  
Florian Pappenberger ◽  
Celia Petty ◽  
...  
Keyword(s):  
Heat Stress ◽  
Thermal Stress ◽  
News Media ◽  
Local Level ◽  
Warning System ◽  
Climate Index ◽  
Country Level ◽  
Media Reports ◽  
Radiant Temperature ◽  
The Impact

&lt;p&gt;Heatwaves have been increasing in frequency, duration, and intensity. They&amp;#160;have been&amp;#160;the deadliest hydro-meteorology&amp;#160;hazard globally for the last 5 years&amp;#160;according to the world meteorological organisation. In addition, they are not constrained by geography in the same sense as many other hazards and as such they are borderless.&amp;#160;They&amp;#160;however&amp;#160;receive less attention, research, and funding internationally than other hazards such as floods and storms, effecting how we perceive their risk and their reporting. Here we consider the impact of heatwaves by making use of the Universal Thermal Climate Index (UTCI) for indicating heat stress. The UTCI is a biometeorological index that computes thermal stress using the parameters of 2m temperature, wind speed, mean radiant temperature and relative humidity and a body model, making it a human-centric approach to assessing thermal stress and is skilful for both indicating and forecasting heat hazards. Further a comparison to how heat impacts are reported in EM-DAT (an international disasters database) and international meteorological organisation reports, supplemented by English news media reports is made to assess whether heat impacts are sufficiently reported. In addition, we refer to specific case studies of the&amp;#160;United&amp;#160;Kingdom, Ghana, and Uganda to further explore impacts, risk perception and policy at a country level, because although heat is borderless impacts occur on a local scale. All this together, will provide the evidence for the development a potentially global early warning system and the implementation of climate change adaptation on a local level to build adaptive capacity and resilience to the growing risk of heat stress internationally.&amp;#160;&lt;/p&gt;

scholarly journals Cardiovascular, lactate and appetite response to light and spicy music tempo after an endurance swimming protocol in young girls

2020 ◽  
Vol 24 (4) ◽  
pp. 195-202
Author(s):  
Javad Mehrabani ◽  
Soodabeh Bagherzadeh ◽  
Abuzar Jorbonian ◽  
Eisa Khaleghi-Mamaghani ◽  
Maryam Taghdiri ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Recovery Period ◽  
Young Girls ◽  
Significant Difference ◽  
Before And After ◽  
Lactate Levels ◽  
The Impact

Background and Study Aim. During exercise, the effects of music on the performance have been previously evaluated. However, the superiority of the type of music and during recovery is not yet clear. Therefore the aim of this study was to determine the impact of music with a spicy and light beat on changes in lactate levels, blood pressure, heart rate, and appetite during the recovery period after the endurance swimming. Material and Methods. Thirteen healthy young girls participate in three control and experimental sessions. The participants performed a swimming. Immediately after swimming, they listened to music. Also, evaluations before and after (several times) swimming were performed.Results. Five minutes after swimming there was also a significant difference between the non-sound group with the music groups (p<0.05). Two and 5 minutes after swimming, there was a significant difference between the spicy and light music groups compared to the non-sound group. There was a significant difference between spicy and light music groups at time 10, 15 and 25 minutes. In the 25 minutes after the swim, reducing the heart rate in light music was more than spicy. Also, 10 minutes after swimming, the spicy music group could not cope with the increase in heart rate (p<0.05). There was a significant difference between the two music groups in minutes 5, 10 and 15 after swimming (p<0.05).Conclusions. listening to light music during recovery from endurance swimming was associated with decreased lactate levels and heart rate, but listening to spicy music increased heart rate and desire for food.

scholarly journals Feeding systems and productive and physiological parameters of lambs raised under heat stress

2021 ◽  
pp. 181-199
Author(s):  
Abner A. Rodríguez-Carías ◽  
José Israel Suárez-Rodríguez ◽  
Jonathan Collazo ◽  
John Fernández-Van Cleve
Keyword(s):  
Heart Rate ◽  
Heat Stress ◽  
Respiratory Rate ◽  
Rectal Temperature ◽  
Dry Matter ◽  
Physiological Parameters ◽  
Stress Conditions ◽  
Initial Weight ◽  
Rotational Grazing ◽  
Grazing System

The objective of this study was to determine physiological parameters (rectal temperature = RT, respiratory rate = RR, heart rate = HR) and production parameters (dry matter intake = DMI, water intake = WI, average daily weight gain = ADG, and feed conversion = FC) of crossbred and Katahdin lambs raised in rotational grazing of native pastures (NP) and in confinement under heat stress conditions. Nine crossbred lambs (average initial weight = 19.4 kg) were used and fed in a rotational grazing system for 70 days with occupation and rest periods of seven and 21 days, respectively. The lambs had daily access to the grazing area for four to six hours, grass hay and water ad libitum, a daily supplement of 100 g of commercial concentrate and a nutritional block. In the confined system, six lambs of the Katahdin breed (average initial weight = 27.3 kg) were used, and for 28 days these were fed total mixed rations (TMR) containing 30% grass hay, 15.4% soybean meal, 54.6% corn grain and a mineral block. The diet contained 14% Crude Protein (CP) and 66% Total Digestible Nutrients (TDN) and was formulated for an ADG of 200 g. The offered and rejected feed was quantified every day [4% body weight (BW)/dry matter basis (DMB)] to determine the DMI, and the volume of water offered and rejected to determine WI. To validate the stress conditions, the maximum environmental temperature and relative humidity were monitored to calculate the temperature and humidity index (THI), and the RT, HR and RR of the 15 lambs were determined. The lambs were weighed every seven days. In both experiments, the THI oscillated between 78 and 80. The lambs were under environmental heat stress conditions (THI x̅ = 79) during both studies. The averages of HR and RT in the grazing system were 118.0 beats per minute and 38.6° C, while the averages under the confinement system were 108.6 beats per minute and 39.4° C, respectively. The average RR (53.6 and 62.6 breaths per minute, in grazing and in confinement, respectively) was greater than the normal value considered for thermal comfort. Respiratory rate is the main mechanism used by lambs to dissipate heat. The heart rate also showed slightly higher values than those reported for animals in their comfort zone. However, the rectal temperature values were constant. As expected, crossbred lambs fed under grazing conditions with naturalized pastures (NP) had a low ADG (55.6 g). Nevertheless, Katahdin lambs fed in confinement with TMR had a DMI of 935.4 g/day (3.14% BW/DMB), a WI of 3.5 L/day, a FC of 4.74 and an ADG of 226.2 g. In conclusion, raising crossbred sheep in rotational grazing of NP without any type of agronomic management results in ADG that could not be considered viable in traditional production systems. The introduction of pure breeds and feeding them in confined systems with a TMR results in a pre-determined ADG (>200 g/day) and is an alternative that can be evaluated economically for its practical implementation.

Cardiovascular Effects of Liraglutide

2019 ◽  
Vol 15 (1) ◽  
pp. 64-69 ◽  
Author(s):  
Nasser Mikhail
Keyword(s):  
Heart Failure ◽  
Type 2 Diabetes ◽  
Heart Rate ◽  
Primary Outcome ◽  
Severe Heart Failure ◽  
Cardiovascular Effects ◽  
Long Term Effects ◽  
Significant Difference ◽  
The Impact

Background:Liraglutide is a glucagon-like 1 (GLP-1) agonist approved for treatment of type 2 diabetes and obesity. </P><P> Objective: To review the cardiovascular effects of liraglutide including macrovascular and microvascular events, its use in heart failure, and its effects on heart rate and blood pressure.Results:The impact of liraglutide on cardiovascular outcomes was examined in a large welldesigned study published in 2016, the LEADER trial. This study included 9,340 patients with advanced type 2 diabetes and high baseline cardiovascular risk. The primary outcome was the first occurrence of death from cardiovascular causes, non-fatal myocardial infarction, or non-fatal stroke. After a median follow-up of 3.8 years, patients randomized to liraglutide had significant reduction in the composite primary outcome compared to patients randomized to placebo, hazard ratio (HR) 0.87; 95% CI 0.78-0.97. Death from cardiovascular causes was significantly reduced with liraglutide therapy (HR, 0.78; 95% CI 0.66-0.93), as well as death from any cause (HR, 0.85; 95% CI 0.74-0.97). In 2017, the LEADER investigators reported that nephropathy events were significantly lower after liraglutide therapy than placebo (HR 0.78; 95% CI 0.67-0.92), but there was no significant difference in retinopathy events. Meanwhile, other studies suggested that the use of liraglutide may be harmful in patients with severe heart failure, in part due to increase in heart rate.Conclusion:Liraglutide is a useful therapy in patients with advanced type 2 diabetes complicated by cardiovascular disease, except patients with severe heart failure. Further studies are needed to evaluate the long-term effects of liraglutide, and to see whether its beneficial effects extend to patients with type 2 diabetes and low cardiac risk.

Sign in / Sign up

Export Citation Format

Share Document