Weight-loss jabs could be given by paramedics at the scene of a heart attack to cut the risk of complications, researchers have discovered.
Drugs such Wegovy were found to have a powerful effect in preventing tissue damage, which has the potential to cut the risk of serious problems that affect up to half of all patients suffering a heart attack.
There are about 100,000 hospital admissions each year in the UK for heart attacks, which occur when blood flow to the heart is suddenly blocked.
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A study, which was led by the University of Bristol and University College London (UCL), looked at GLP-1 drugs, which include semaglutide, sold as Wegovy and Ozempic.
Previous studies have shown that the drugs can lower the risk of serious heart problems such as heart disease and stroke, regardless of a patient’s other health conditions or the amount of weight they lose.
In the study, experts looked at how the drugs could help to reverse blockages caused by cells called pericytes, which constrict blood vessels at the onset of a heart attack and reduce blood flow.
Svetlana Mastitskaya, senior lecturer in cardiovascular regenerative medicine at Bristol Medical School and the study’s lead author, said: “In nearly half of all heart attack patients, tiny blood vessels within the heart muscle remain narrowed, even after the main artery is cleared during emergency medical treatment.
“This results in a complication known as no-reflow, where blood is unable to reach certain parts of the heart tissue.
“Our previous research has shown that this narrowing of blood vessels contributes significantly to no-reflow, a complication that increases the risk of death or hospital admission for heart failure within a year of a heart attack.
“But our latest findings are surprising in that we have found GLP-1 drugs may prevent this problem.”
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Using mice, the team found GLP-1 drugs — taken by celebrities as varied as Oprah Winfrey, Serena Williams and Elon Musk — improved blood flow to the heart after a heart attack by activating potassium channels and relaxing pericytes. This allowed the blood vessels to open up, reducing the risk of further damage to the heart.
Mastitskaya said that they could be given to patients even if they have not had the drug before.
She said: “The drugs can be given by paramedics attending the patient even on the way to the hospital and/or during surgical reopening of the occluded artery. This needs to be determined by clinical trials.”
David Attwell, a professor at UCL and the study’s co-lead, said: “With an increasing number of similar GLP-1 drugs now being used in clinical practice, for conditions ranging from type 2 diabetes and obesity to kidney disease, our findings highlight the potential for these existing drugs to be repurposed to treat the risk of no-reflow in heart attack patients, offering a potentially life-saving solution.”
The study was published in the journal Nature Communications.