Table 3.
Mathematical approaches to predict cardiac damage
| Drug class | Analysis method | Endpoint | Conclusions |
|---|---|---|---|
| Cox2 inhibitors58 | Multivariate odds ratios on use or not of drug | MI and cardiac death | Rofecoxib use increases the risk of serious coronary heart disease compared with celecoxib use. Naproxen use does not protect against serious coronary heart disease |
| Hormone replacement therapy59 | Logistic regression | Venous thromboembolism | Current use of hormone replacement therapy was associated with a higher risk of venous thromboembolism, although the risk seemed to be restricted to the first year of use. |
| Bendectin and others60 | Pairwise comparison on mothers use of drug during pregnancy | Congenital Heart Disease | In particular, aspirin use in early pregnancy was associated with about a twofold increase in the frequency of defects in septation of the truncus arteriosus |
| Cox2 inhibitors61 | Proportional hazards on use and high/low dose | MI | Rofecoxib significant effect. Aspirin reduces the effect |
| Appetite suppressants62 | Pairwise comparison vs. control and frequency of event vs. drug use | Cardiac valve regurgitation | Significant effects for some of the drugs considered |
| Dopamine agonists63 | Pairwise comparison of risk | Cardiac valve regurgitation | Significant effects for some drugs |
| Third generation oral contraceptives64 | Pairwise comparisons | Venous thromboembolism | Risk of venous thromboembolism was slightly increased in users of third generation oral contraceptives compared with users of second generation products. |
| ADHD drugs in children65 | Cox hazard ratios | Serious cardiovascular events (sudden cardiac death, acute myocardial infarction, and stroke) | No significant effect though upper CI points to doubling of events |
References contained in Supplementary Material. MI, myocardial infarction.