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December 1, 1969Arthritis & Rheumatism

Procainamide‐induced serologic changes in asymptomatic patients

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Why the study?

Does procainamide induce serologic changes in asymptomatic cardiac patients compared to quinidine or controls?

Population

Cardiac patients with no manifestations of drug-induced lupus

Comparison

Procainamide for 6 weeks or more vs Quinidine and age- and sex-matched controls

Design

Cohort

Follow-up

6 weeks or more

Authors

JMJavier MolinaInstituto de Recursos Naturales y Agrobiología de SevillaEDEdmund L. DuboisUniversity of Southern CaliforniaMBMICHAEL BILITCHUniversity of Southern California

Discussion

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Implication

Procainamide was associated with frequent autoantibody induction in asymptomatic patients; leaves open clinical significance and need for prospective monitoring studies.

Structured PICO

Does procainamide induce serologic changes in asymptomatic cardiac patients compared to quinidine or controls?

P
Population
Cardiac patients with no manifestations of drug-induced lupus
I
Intervention
Procainamide for 6 weeks or more
C
Comparator
Quinidine and age- and sex-matched controls
O
Outcome
Serologic findings (LE cell tests, anti-DNP, anti-DNA)surrogate

Procainamide therapy for 6 weeks or more frequently induces autoantibodies (LE cells, anti-DNP, anti-DNA) even in asymptomatic cardiac patients.

Cite This Study

Molina et al. (1969) studied this question.

synapsesocial.com/papers/6a8d005e551dbf60cd71bd71https://doi.org/10.1002/art.1780120608

Topics

Hypertension management
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Antinuclear Antibody Induced by Procainamide1969 · 117 citations
  2. 2Procainamide HCl-Induced Lupus Syndrome in a Child With Myotonia Congenita1967 · 11 citations
  3. 3Lupus-like Illness Precipitated by Procainamide Hydrochloride1965 · 38 citations