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December 30, 2008Clinical Endocrinology

Valvular heart disease and the use of cabergoline for the treatment of prolactinoma

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Why the study?

Does low-dose cabergoline cause significant valvular thickening or regurgitation in patients with prolactinoma?

Population

50 prolactinoma patients, 30 male, 20 female, mean age 51.2 +/- 2.2 years

Comparison

Cabergoline at doses commonly used for… vs Age- and sex-matched controls with normal left…

Design

Case-control

Follow-up

6.6 +/- 0.5 years (treatment duration)

Key result

Long-term administration of cabergoline for prolactinoma was not associated with increased mitral valve tenting area, valvular thickening, or significant regurgitation compared to matched controls.

Authors

NHNeil HerringCSCezary SzmigielskiHBHarald Becher

Discussion

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Overview

Supports valvular safety of long-term low-dose cabergoline in prolactinoma; leaves open confirmation in prospective cohorts.

Study Design

Type

Case-Control (n=50)

Structured PICO

Does low-dose cabergoline cause significant valvular thickening or regurgitation in patients with prolactinoma?

P
Population
50 patients with prolactinoma (mean age 51.2 years, 40% female) treated with cabergoline for a mean of 6.6 years, compared to age- and sex-matched controls.
E
Exposure
Cabergoline at doses commonly used for prolactinoma (0.25-3 mg/week) for a mean of 6.6 +/- 0.5 years (cumulative dose 443 +/- 53 mg)
C
Comparator
Age- and sex-matched controls with normal left ventricular function
O
Outcome
Prevalence of significant valvular thickening (> 0.5 cm) and regurgitation, and mitral valve tenting area and height measured by transthoracic echocardiographysurrogate

Long-term use of low-dose cabergoline for prolactinoma treatment does not appear to increase the risk of significant cardiac valvulopathy.

Cite This Study

Herring et al. (2008) conducted a case-control in prolactinoma (n=50). Cabergoline vs. age- and sex-matched controls with normal left ventricular function was evaluated on prevalence of significant valvular thickening (> 0.5 cm) and regurgitation, and mitral valve tenting area and height. Long-term administration of cabergoline for prolactinoma was not associated with increased mitral valve tenting area, valvular thickening, or significant regurgitation compared to matched controls.

synapsesocial.com/papers/6a7718274fe2e6ffd8ec6823https://doi.org/10.1111/j.1365-2265.2008.03458.x
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