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Effects Of Interferon Therapy On Heart
Abdul Wajid Khan Faisal1, Sajid Nisar2, Syed Asif Ali1
1Department of Cardiology, Punjab institute of Cardiology, Lahore, Pakistan.
Hepatitis C treatment with interferon and ribavirin is safe for the heart in patients without prior heart conditions. However, some female patients may experience diastolic dysfunction or pericardial effusion.
Area of Science:
- Cardiology
- Hepatology
- Infectious Diseases
Background:
- Hepatitis C virus (HCV) infection affects 185 million globally, with 10 million in Pakistan.
- Interferon plus Ribavirin (IFN/RIB) is a primary HCV treatment with reported cardiovascular side effects.
- This study assessed the cardiac safety of interferon therapy in Pakistani patients.
Purpose of the Study:
- To evaluate the cardiac safety of interferon therapy in HCV patients.
- To identify potential cardiovascular adverse reactions associated with IFN/RIB treatment.
Main Methods:
- Echocardiography was performed on 102 HCV patients before, during, and after pegylated interferon and ribavirin therapy.
- Patients with pre-existing heart disease were excluded.
- The study spanned from November 2012 to August 2014.
Main Results:
- No acute cardiac events occurred in the 46 patients who completed treatment.
- All patients maintained normal biventricular systolic function post-therapy.
- Statistically significant findings included diastolic dysfunction and mild pericardial effusion in some patients.
Conclusions:
- Interferon therapy is cardiac safe for HCV patients with structurally normal hearts.
- Female patients showed a higher propensity for adverse events like diastolic dysfunction and pericardial effusion.
- Further research is needed on cardiac safety in patients with existing heart conditions.
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