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Author Spotlight: A Pharmacodissection Approach to Uncover Mechanisms in Cardiovascular Disease Risk Populations
Published on: July 21, 2023
A Systematic Review on the Potential of Aspirin to Reduce Cardiovascular Risk in Schizophrenia
Joseph Dao1, Savreen Saran1, Melody Wang1
1College of Medicine, The Pennsylvania State University, Hershey, PA 17033, USA.
Insights
Patients with schizophrenia face higher cardiovascular disease (CVD) risks. This review highlights the lack of research on aspirin (ASA) use for CVD prevention in schizophrenia patients, indicating a critical need for further investigation.
Area of Science:
- Cardiology
- Psychiatry
- Pharmacology
Background:
- Cardiovascular disease (CVD) is the leading global cause of mortality.
- Patients with schizophrenia (SCZ) exhibit a significantly elevated risk of developing CVD.
- Current treatments like metformin and statins show limited efficacy in mitigating CVD risk in SCZ patients.
Purpose of the Study:
- To systematically review existing literature on the utilization of aspirin (ASA) for cardiovascular risk reduction in patients with schizophrenia.
- To identify gaps in current research regarding CVD preventative strategies in the SCZ population.
Main Methods:
- A systematic literature review was conducted to assess studies investigating CVD risk and preventative treatments in SCZ.
- The review focused on identifying any research pertaining to the use of aspirin (ASA) as an adjuvant therapy for CVD prevention in SCZ.
Main Results:
- The review identified a substantial body of evidence confirming increased CVD risk in individuals with SCZ.
- Crucially, no studies were found that specifically examined the use of aspirin (ASA) for CVD prevention in SCZ patients.
Conclusions:
- There are significant gaps in the literature concerning CVD prevention strategies for schizophrenia patients.
- Further research is urgently needed to explore the potential benefits of treatments like aspirin (ASA) in reducing CVD risk and mortality in this vulnerable population.
Abstract:
Cardiovascular disease (CVD), including heart disease and stroke, continues to be the leading cause of death worldwide. Patients with mental health disorders, including schizophrenia (SCZ) are known to have an increased risk for CVD. Given the association with metabolic syndrome, patients with SCZ are often prescribed metformin and statins but its impact remains unsatisfactory. The use of aspirin (ASA) to decrease cardiovascular risk in the general population has been thoroughly investigated and clear guidelines are currently in place. Since adjuvant treatment with ASA could possibly decrease CVD risk and mortality in SCZ, we conducted a systematic review of the literature to determine the state of the current literature on this subject. Our systematic review points to gaps in the literature on CVD prevention in SCZ and illustrates an obvious need for further research. Although several studies have shown increased CVD risk in SCZ, to date, no research has been conducted on the utilization of CVD preventative treatment such as ASA for SCZ.
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