与lacosamide相关的心脏不良事件:FAERS数据库的不成比例分析
Chengcheng Yang1, Wanqi Zhao2, Huihui Chen3
1Department of Pharmacy, The First People's Hospital of Shangqiu, Shangqiu, 476000, China. ycc424@163.com.
Scientific reports
|July 13, 2024
概括
第三代抗药物拉科萨米德在真实世界的数据中显示了心脏不良事件 (AE). 对812次心脏性意外事件的分析发现了17个显著信号,大多数病例出现在早期,随着时间的推移风险下降.
科学领域:
- 药物监督 药物监督 药物监督
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 拉科萨米德是一种第三代抗药物 (AED).
- 关于lacosamide心脏不良事件 (AEs) 的现实世界数据有限.
- 需要进行全面的心脏安全评估.
研究的目的:
- 为了评估lacosamide的心脏安全概况.
- 使用现实世界的数据来识别和量化与lacosamide相关的心脏副作用.
- 提高医疗保健专业人员对潜在心脏风险的认识.
主要方法:
- 使用了美国食品和药物管理局不良事件报告系统 (FAERS) 数据库 (2013 Q12022 Q4).
- 使用不成比例分析计算报告几率比率 (ROR) 来检测安全信号.
- 应用了严重与非严重病例的统计分析和信号优先级的评级尺度.
主要成果:
- 鉴定了812个与lacosamide相关的心脏副作用.
- 检测到92个潜在的安全信号,其中17个达到统计学意义 (ROR 95% CI下限>1).
- 观察到心脏AE的早期发病模式,中位数发病时间为中度的10天,弱优先信号的54天,表明随着时间的推移风险下降.
结论:
- 拉科萨米德表现出心脏安全概况,其特点是早期出现的不良事件.
- 与lacosamide相关的心脏AE风险似乎随着时间的推移而降低.
- 这些发现强调了监测心脏AE在接受lacosamide治疗的患者中的重要性.
更多相关视频
相关概念视频
Antiarrhythmic Drugs: Class I Agents as Sodium Channel Blockers
1.3K
Class I antiarrhythmic drugs are used to treat various types of arrhythmias or irregular heart rhythms. These drugs block the sodium (Na+) channels in the cardiac cells, thereby affecting the movement of electrical impulses across the heart. Class I antiarrhythmic drugs are divided into three subgroups: Class IA, Class IB, and Class IC, each with distinct mechanisms of action and effects on the heart.
Class 1A Antiarrhythmic Drugs: These drugs work by moderately blocking sodium channels,...
Class 1A Antiarrhythmic Drugs: These drugs work by moderately blocking sodium channels,...
1.3K
Heart Failure Drugs: Inotropic Agents
564
Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
564
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
419
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
419


