Macrolides May Increase Cardiovascular Risks

Macrolides were linked to small, but significant, chances of sudden cardiac death.
Macrolides were linked to small, but significant, chances of sudden cardiac death.

(HealthDay News) -- Macrolides are associated with a small but measurable increased risk of sudden cardiac death, according to research published in the Journal of the American College of Cardiology.

In the new report, the investigators analyzed 33 studies that were conducted between 1966 and 2015, and included a total of more than 20 million patients. The studies compared patients who took macrolides, other types of antibiotics, or no antibiotics.

An average of 80 cases of ventricular tachyarrhythmias occurred per one million treatment courses among patients who were not taking macrolides, the investigators found. But, current use of macrolides was associated with an additional 118 ventricular tachyarrhythmias or related sudden cardiac deaths per one million treatment courses. There were 36 additional sudden cardiac deaths from causes other than ventricular tachyarrhythmia, and 38 additional cardiovascular-related deaths per one million treatment courses. Past use of macrolides and use of other antibiotics were not associated with increased cardiovascular risk.

"The absolute risks of sudden cardiac death and cardiac death are small, so it should likely have limited effect on prescribing practice," study author Su-Hua Wu, MD, PhD, from the department of cardiology at the First Affiliated Hospital at Sun Yat-Sen University in Guangzhou, China, said in a journal news release. "However, given that macrolides are one of the most commonly used antibiotic groups, and millions of patients are prescribed these drugs annually, the total number of sudden cardiac deaths or ventricular tachyarrhythmias and cardiac deaths may not be negligible."

Sources

  1. Cheng YJ, Nie XY, Chen XM, et al. The Role of Macrolide Antibiotics in Increasing Cardiovascular Risk. J Am Coll Cardiol. 2015;66(20):2173-2184. doi: 10.1016/j.jacc.2015.09.029. 
  2. Viskin S, Havakuk O, and Schwaber MJ. Am Coll Cardiol. 2015;66(20):2185-2188. doi: 10.1016/j.jacc.2015.09.027.
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