Bromocriptine use and the risk of valvular heart disease
Identifieur interne : 001B56 ( Istex/Curation ); précédent : 001B55; suivant : 001B57Bromocriptine use and the risk of valvular heart disease
Auteurs : Louis C. S. Tan [Singapour] ; Kenneth K. C. Ng [Singapour] ; Wing-Lok Au [Singapour] ; Raymond K. K. Lee [Singapour] ; Yiong-Huak Chan [Singapour] ; Nigel C. K. Tan [Singapour]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-02-15.
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Abstract
It has been reported that patients on pergolide and carbergoline have an increased risk of developing valvular heart disease. It is uncertain if bromocriptine, an ergot‐derived dopamine agonist (DA) with partial 5‐HT2B activity, is associated with a similar risk. We assessed the frequency of valvular heart disease in Parkinson's disease (PD) patients on bromocriptine compared to pergolide and a control group of PD patients who had not been treated on any DA. Seventy‐two PD patients on bromocriptine, 21 patients on pergolide, and 47 control PD patients were recruited. Transthoracic echocardiographic studies were performed and reviewed by a blinded cardiologist. The risk for the bromocriptine group to develop any abnormal valvular regurgitation was 3.32 (adjusted OR, 95% CI: 1.11–9.92, P = 0.03) compared to controls, whereas the risk for the pergolide group was 3.66 (adjusted OR, 95% CI: 1.22–10.97, P = 0.02). When cumulative dose of bromocriptine was analyzed by quartiles, patients with a greater exposure to bromocriptine had significantly higher risk of developing both mild and moderate‐severe regurgitations (P for trend, 0.005 and 0.019, respectively). This study demonstrated that bromocriptine use was associated with an increased risk of developing valvular heart disease, which occurred in a cumulative dose‐dependent manner. © 2008 Movement Disorder Society
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DOI: 10.1002/mds.22228
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Louis C. S. Tan<affiliation><mods:affiliation>Parkinson's Disease and Movement Disorders Centre, National Neuroscience Institute, Singapore, USA National Parkinson Foundation Centre of Excellence</mods:affiliation><wicri:noCountry code="subField">USA National Parkinson Foundation Centre of Excellence</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, National Neuroscience Institute, Singapore</mods:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Neurology, National Neuroscience Institute</wicri:regionArea></affiliation><affiliation><mods:affiliation>Parkinson's Disease and Movement Disorders Centre, National Neuroscience Institute, Singapore, USA National Parkinson Foundation Centre of Excellence</mods:affiliation><wicri:noCountry code="subField">USA National Parkinson Foundation Centre of Excellence</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, National Neuroscience Institute, Singapore</mods:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Neurology, National Neuroscience Institute</wicri:regionArea></affiliation>Le document en format XML
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Tan</name><affiliation><mods:affiliation>Parkinson's Disease and Movement Disorders Centre, National Neuroscience Institute, Singapore, USA National Parkinson Foundation Centre of Excellence</mods:affiliation><wicri:noCountry code="subField">USA National Parkinson Foundation Centre of Excellence</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, National Neuroscience Institute, Singapore</mods:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Neurology, National Neuroscience Institute</wicri:regionArea></affiliation></author><author><name sortKey="Ng, Kenneth K C" sort="Ng, Kenneth K C" uniqKey="Ng K" first="Kenneth K. C." last="Ng">Kenneth K. C. 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S." last="Tan">Louis C. S. Tan</name><affiliation><mods:affiliation>Parkinson's Disease and Movement Disorders Centre, National Neuroscience Institute, Singapore, USA National Parkinson Foundation Centre of Excellence</mods:affiliation><wicri:noCountry code="subField">USA National Parkinson Foundation Centre of Excellence</wicri:noCountry></affiliation><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, National Neuroscience Institute, Singapore</mods:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Neurology, National Neuroscience Institute</wicri:regionArea></affiliation></author><author><name sortKey="Ng, Kenneth K C" sort="Ng, Kenneth K C" uniqKey="Ng K" first="Kenneth K. C." last="Ng">Kenneth K. C. 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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-02-15">2009-02-15</date><biblScope unit="vol">24</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="344">344</biblScope><biblScope unit="page" to="349">349</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">2D270A4B1CEBEB5E911D82E135771EC449CCB7D5</idno><idno type="DOI">10.1002/mds.22228</idno><idno type="ArticleID">MDS22228</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>5‐HT2 serotonin receptors</term><term>bromocriptine</term><term>dopamine agonists</term><term>ergotamines</term><term>pergolide</term><term>valvular heart disease</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">It has been reported that patients on pergolide and carbergoline have an increased risk of developing valvular heart disease. It is uncertain if bromocriptine, an ergot‐derived dopamine agonist (DA) with partial 5‐HT2B activity, is associated with a similar risk. We assessed the frequency of valvular heart disease in Parkinson's disease (PD) patients on bromocriptine compared to pergolide and a control group of PD patients who had not been treated on any DA. Seventy‐two PD patients on bromocriptine, 21 patients on pergolide, and 47 control PD patients were recruited. Transthoracic echocardiographic studies were performed and reviewed by a blinded cardiologist. The risk for the bromocriptine group to develop any abnormal valvular regurgitation was 3.32 (adjusted OR, 95% CI: 1.11–9.92, P = 0.03) compared to controls, whereas the risk for the pergolide group was 3.66 (adjusted OR, 95% CI: 1.22–10.97, P = 0.02). When cumulative dose of bromocriptine was analyzed by quartiles, patients with a greater exposure to bromocriptine had significantly higher risk of developing both mild and moderate‐severe regurgitations (P for trend, 0.005 and 0.019, respectively). This study demonstrated that bromocriptine use was associated with an increased risk of developing valvular heart disease, which occurred in a cumulative dose‐dependent manner. © 2008 Movement Disorder Society</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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