PMID- 24845072 OWN - NLM STAT- Publisher LR - 20191120 IS - 1752-8984 (Electronic) IS - 1479-1641 (Linking) VI - 11 IP - 4 DP - 2014 Jul TI - The DPP-4 inhibitor sitagliptin and endothelial function in patients with acute coronary syndromes and newly detected glucose perturbations: A report from the BEGAMI study. PG - 290-293 AB - OBJECTIVE: Compromised endothelial function contributes to poor prognosis in patients with coronary artery disease and type 2 diabetes. Incretin-based therapy may exert beneficial cardiovascular effects beyond glucose lowering. We tested whether sitagliptin improves endothelial function. RESEARCH DESIGN AND METHODS: In the double-blind BEta-cell function in patients with Glucose Abnormalities and Acute Myocardial Infarction (BEGAMI) trial, acute coronary syndrome (ACS)-patients with newly detected impaired glucose tolerance (IGT) or type 2 diabetes mellitus (T2DM) were randomised to sitagliptin 100 mg (n = 31) or placebo (n = 33) during 12 weeks. Endothelial function was studied as reactive hyperaemia index (RHI). RESULTS: At baseline, the RHI was slightly compromised in both groups (sitagliptin 1.67; Q1;Q3: 1.46;2.17 vs placebo 1.61; 1.44;1.96; ns). The RHI did not change during the study period and was 1.57 (1.40;2.36) in the sitagliptin and 1.60 (1.46;1.81; ns) in the placebo group after treatment. CONCLUSION: Sitagliptin did not improve endothelial function in patients with ACS and newly detected glucose perturbations. CI - (c) The Author(s) 2014. FAU - Hage, Camilla AU - Hage C AD - Cardiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden Research Unit, Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden camilla.hage@karolinska.se. FAU - Brismar, Kerstin AU - Brismar K AD - Endocrine and Diabetes Unit, Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. FAU - Lundman, Pia AU - Lundman P AD - Division of Cardiovascular Medicine, Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden. FAU - Norhammar, Anna AU - Norhammar A AD - Cardiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Ryden, Lars AU - Ryden L AD - Cardiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Mellbin, Linda AU - Mellbin L AD - Cardiology Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden Research Unit, Department of Cardiology, Karolinska University Hospital, Stockholm, Sweden. LA - eng PT - Journal Article DEP - 20140519 PL - England TA - Diab Vasc Dis Res JT - Diabetes & vascular disease research JID - 101234011 OTO - NOTNLM OT - Acute coronary syndrome OT - endothelial function OT - glucose OT - glucose perturbations OT - sitagliptin EDAT- 2014/05/23 06:00 MHDA- 2014/05/23 06:00 CRDT- 2014/05/22 06:00 PHST- 2014/05/22 06:00 [entrez] PHST- 2014/05/23 06:00 [pubmed] PHST- 2014/05/23 06:00 [medline] AID - 1479164114533355 [pii] AID - 10.1177/1479164114533355 [doi] PST - ppublish SO - Diab Vasc Dis Res. 2014 Jul;11(4):290-293. doi: 10.1177/1479164114533355. Epub 2014 May 19.