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August 1, 2001British Journal of Clinical PharmacologyOpen Access

Use of selective serotonin reuptake inhibitors and risk of developing first‐time acute myocardial infarction

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Key result

Current use of selective serotonin reuptake inhibitors did not decrease the risk of first-time acute myocardial infarction compared to nonusers of antidepressants (OR 0.9; 95% CI 0.5-1.8).

Why the study?

Does current use of SSRIs reduce the risk of first-time acute myocardial infarction in patients aged 75 years or younger free of predisposing conditions?

Population

16,458 patients aged 75 years or younger free of clinical conditions predisposing to ischaemic heart…

Comparison

Current use of selective serotonin reuptake… vs Nonuse of antidepressants

Design

Case-control

Authors

CMChristoph MeierUniversity of BaselRSRaymond G. SchliengerNovartis (Switzerland)HJHershel JickBoston University

Discussion

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Implication

No AMI risk reduction with SSRIs; leaves open effects in higher-risk groups or with longer-term use.

Study Design

Type

Case-Control (n=16,458)

Multicenter

Yes

Structured PICO

Does current use of SSRIs reduce the risk of first-time acute myocardial infarction in patients aged 75 years or younger free of predisposing conditions?

P
Population
16,458 patients aged 75 years or younger free of conditions predisposing to ischaemic heart disease, including 3,319 with first-time AMI and 13,139 matched controls.
E
Exposure
Current use of selective serotonin reuptake inhibitors (SSRIs)
C
Comparator
Nonuse of antidepressants
O
Outcome
First-time diagnosis of acute myocardial infarction (AMI)hard clinical

Main Result

Odds Ratio: 0.9 (95% CI 0.5–1.8)

Current use of SSRIs does not significantly decrease the risk of developing first-time acute myocardial infarction in patients without predisposing factors for ischemic heart disease.

Limitations

  • Relatively small numbers of exposed subjects
  • Wide confidence intervals
  • relatively small numbers of exposed subjects
  • wide confidence intervals

Cite This Study

Meier et al. (2001) conducted a case-control in Acute myocardial infarction (n=16,458). Selective serotonin reuptake inhibitors (SSRIs) vs. Nonusers of antidepressants was evaluated on First-time acute myocardial infarction (OR 0.9, 95% CI 0.5-1.8). Current use of selective serotonin reuptake inhibitors did not decrease the risk of first-time acute myocardial infarction compared to nonusers of antidepressants (OR 0.9; 95% CI 0.5-1.8).

synapsesocial.com/papers/6a22b56bcce2ba38c0cd6495https://doi.org/10.1046/j.0306-5251.2001.01426.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intracranial haemorrhage and use of selective serotonin reuptake inhibitors2000 · 99 citations
  2. 2Association between selective serotonin reuptake inhibitors and upper gastrointestinal bleeding: population based case-control study1999 · 454 citations
  3. 3Paroxetine decreases platelet serotonin storage and platelet function in human beings2000 · 232 citations
  4. 4Abnormal Platelet Aggregation Associated with Fluoxetine Therapy1992 · 68 citations
  5. 5Effects of Serotonin on Platelets and Blood Vessels1991 · 154 citations