THERAPEUTICS
Review: inhaled anticholinergics increase risk of major cardiovascular events in COPD
| The first 150 words of the full text of this article appear below. |
S Singh
Dr S Singh, Wake Forest University School of Medicine, Winston-Salem, NC, USA; sosingh@wfubmc.edu
QUESTION
In patients with chronic obstructive pulmonary disease (COPD), do inhaled anticholinergics increase risk of major cardiovascular events?
REVIEW SCOPE
Included studies compared an inhaled anticholinergic with placebo or active drugs in patients with COPD and reported serious cardiovascular adverse events. Outcomes were a composite cardiovascular end point (non-fatal myocardial infarction, non-fatal stroke [including transient ischaemic attack], or cardiovascular death [including sudden death]), its components, and all-cause death.
REVIEW METHODS
Medline (Mar 2008), Cochrane Database of Systematic Reviews, websites of the US Food and Drug Administration and European regulatory authorities, clinicaltrials.gov, drug company product information sheets and clinical trials registers, reference lists, and Web of Science Citation Index were searched for English-language, published or unpublished, randomised controlled trials (RCTs) with >30 days of follow-up. 17 RCTs (n = 14 783, mean age 49–68 y, 58–99% men) met the selection criteria.
University Health Network, University of Toronto, Toronto, Ontario, Canada
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Drugs: cardiovascular system
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Ischaemic heart disease
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Drugs: respiratory system
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