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The landmark SUMMIT trial with tirzepatide has provided the most compelling evidence to date for heart failure benefits with incretin-based therapy

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The CV benefits of the SGLT2 inhibitor on HF and CV death (primarily driven by HF) are observed with months and most likely are hemodynamically driven (simultaneous reduction in preload and afterload), while those of GLP-1s on MACE take 12 to 16 months to be seen and most likely are related to the drugs antiatherogenic effects

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