Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
October 19, 2017Journal of Clinical PsychopharmacologyOpen Access

Hearts and Minds

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does clozapine treatment cause significant cardiac morbidity or mortality in inpatients with treatment-refractory schizophrenia?

Population

39 inpatients with treatment-refractory schizophrenia referred for cardiology opinion

Comparison

Clozapine vs Other antipsychotic medication

Design

Cohort

Follow-up

4 months for serial echocardiograms; up to 11 years for…

Authors

GJGeorge JoyEWEromona WhiskeyMBMark Bolstridge

Discussion

Loading...

Member takes

Overview

Supports continued clozapine use under routine monitoring; leaves open the need for larger prospective studies on cardiac outcomes.

Structured PICO

Does clozapine treatment cause significant cardiac morbidity or mortality in inpatients with treatment-refractory schizophrenia?

P
Population
39 inpatients with treatment-refractory schizophrenia referred for cardiology opinion
I
Intervention
Clozapine
C
Comparator
Other antipsychotic medication
O
Outcome
Cardiac outcomes including electrocardiogram, echocardiogram (left ventricular ejection fraction), and clinical outcomessafety

Clozapine treatment in patients with treatment-refractory schizophrenia is not associated with significant cardiac morbidity or mortality, suggesting that cardiac concerns may not warrant routine discontinuation.

Cite This Study

Joy et al. (2017) studied this question.

synapsesocial.com/papers/6a710f90f44fa9f079ded46chttps://doi.org/10.1097/jcp.0000000000000792
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1Asymptomatic left ventricular dysfunction with long-term clozapine treatment for schizophrenia: a multicentre cross-sectional cohort study2014 · 47 citations
  2. 2Cardiovascular aspects of antipsychotics2010 · 88 citations
  3. 3Antipsychotic drugs and heart muscle disorder in international pharmacovigilance: data mining study2001 · 235 citations
  4. 4Role of C reactive protein in evaluating the extent of myocardial inflammation in acute myocarditis2015 · 16 citations
  5. 5Current state of knowledge on aetiology, diagnosis, management, and therapy of myocarditis: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases2013 · 3,499 citations