Table 2.
Risk of cardiac arrest and non-antiarrhythmic QTc-prolonging medication
| Use of QTc-prolonging drugs | Cases (n = 140) | Controls (n = 560) | Crude odds ratio (95% CI) | Adjusted odds ratio*(95% CI) |
|---|---|---|---|---|
| Non-use | 98 | 453 | 1 ref | 1 ref |
| Current use | 42 | 107 | 1.8 (1.2, 2.8) | 2.1 (1.2, 3.5) |
| Daily dose | ||||
| Non-use | 98 | 453 | 1 ref | 1 ref |
| ≤1 defined daily dose | 28 | 78 | 1.7 (1.0, 2.7) | 1.9 (1.1, 3.5) |
| >1 defined daily dose | 14 | 29 | 2.2 (1.1, 4.4) | 2.5 (1.1, 5.9) |
| Number of QTc-prolonging drugs | ||||
| Non-use | 98 | 453 | 1 ref | 1 ref |
| One drug | 33 | 94 | 1.6 (1.0, 2.6) | 1.8 (1.0, 3.1) |
| ≥2 drugs simultaneously | 9 | 13 | 3.2 (1.3, 7.7) | 4.8 (1.6, 14) |
| Drug–drug interactions | ||||
| Non-use | 98 | 453 | 1 ref | 1 ref |
| QTc-prolonging drugs only | 34 | 99 | 1.6 (1.0, 2.5) | 1.9 (1.1, 3.2) |
| QTc-prolonging drugs + P450 inhibitors | 8 | 8 | 4.6 (1.7, 13) | 4.7 (1.3, 16) |
| Type of QTc-prolonging drug used† | ||||
| Non-use | 98 | 453 | 1 ref | 1 ref |
| Amitriptyline | 4 | 10 | 1.9 (0.6, 6.0) | 2.0 (0.5, 8.1) |
| Cisapride | 6 | 21 | 1.3 (0.5, 3.4) | 1.3 (0.4, 4.0) |
| Clarithromycin | 3 | 7 | 2.0 (0.5, 7.8) | 1.4 (0.2, 8.6) |
| Cotrimoxazole | 9 | 30 | 1.4 (0.6, 3.0) | 2.6 (1.1, 6.4) |
| Domperidone | 7 | 15 | 2.2 (0.9, 5.4) | 4.7 (1.4, 16) |
| Haloperidole | 15 | 18 | 3.9 (1.9, 7.9) | 3.8 (1.6, 9.2) |
| Promethazine | 3 | 13 | 1.1 (0.3, 3.8) | 1.2 (0.3, 5.4) |
| Other QTc-prolonging drug | 4 | 9 | 2.1 (0.6, 6.8) | 1.3 (0.3, 5.6) |
Adjusted for age, gender, cardiac arrhythmias, other cardiac disease, diabetes mellitus, pulmonary disease, total number of current drugs, concomitant use of antiarrhythmic drugs, serum potassium, calcium, magnesium, creatinine, and bilirubine.
Some patients used > 1 QTc-prolonging drug, numbers do not add up.