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Review: thiazolidinediones increase risk of heart failure in type 2 diabetes

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S Singh

Dr S Singh, Wake Forest University School of Medicine, Winston-Salem, NC, USA; sosingh@wfubmc.edu

REVIEW PROCESS

Aim:

in patients with type 2 diabetes, what is the risk of heart failure (HF) associated with thiazolidinediones (TZDs)?

Search methods:

Medline (January 2003 to September 2006), EMBASE/Excerpta Medica, Google Scholar, Web of Knowledge, Canadian Drug Reaction Monitoring Program, reference lists, and manufacturers for unpublished studies.

Study selection and assessment:

randomised controlled trials (RCTs) in any language comparing TZDs (rosiglitazone [RGZ] or pioglitazone) with placebo for ⩾6 months in patients with type 2 diabetes and HF; cohort or case-control studies comparing TZDs with other oral antidiabetic drugs (with or without insulin) for new-onset HF; and case reports or case series of all adverse drug reactions (HF and pulmonary oedema) of TZDs. {Quality assessment of individual studies was based on the definition of HF and ascertainment of HF …

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