Excess sudden cardiac deaths after short-term clarithromycin administration in the CLARICOR trial: why is this so, and why are statins protective?
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Excess sudden cardiac deaths after short-term clarithromycin administration in the CLARICOR trial : why is this so, and why are statins protective? / Winkel, Per; Hilden, J; Hansen, Jørgen Fischer; Hildebrandt, Per; Kastrup, Jens; Kolmos, Hans Jørn; Kjøller, Erik; Jespersen, Christian M.; Gluud, Christian; Jensen, GB; CLARICOR Trial, Group.
In: Cardiology, Vol. 118, No. 1, 2011, p. 63-67.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Excess sudden cardiac deaths after short-term clarithromycin administration in the CLARICOR trial
T2 - why is this so, and why are statins protective?
AU - Winkel, Per
AU - Hilden, J
AU - Hansen, Jørgen Fischer
AU - Hildebrandt, Per
AU - Kastrup, Jens
AU - Kolmos, Hans Jørn
AU - Kjøller, Erik
AU - Jespersen, Christian M.
AU - Gluud, Christian
AU - Jensen, GB
AU - CLARICOR Trial, Group
PY - 2011
Y1 - 2011
N2 - Objectives: To elucidate potential mechanisms for the clarithromycin-induced excess mortality observed in the CLARICOR trial during 2.6 year follow-up of patients with stable coronary artery disease. Methods: Cox analyses using out-of-hospital death as a proxy for sudden death compared to in-hospital (nonsudden) death. Result: In 100 of 189 (53%) cardiovascular (CV) deaths in which it was possible to examine the question, there was a strong association between place of death and the classification of CV death as sudden or not-sudden. The excess mortality in the clarithromycin group was confined to sudden CV death in patients not on statins at trial entry (HR: 2.61, 95% CI: 1.69–4.05, p < 0.0005). Other categories of deaths showed no marked drug-placebo difference. Conclusions: Short-term clarithromycin administration was significantly associated with increased risk of sudden CV death in stable coronary heart disease patients not using statins.
AB - Objectives: To elucidate potential mechanisms for the clarithromycin-induced excess mortality observed in the CLARICOR trial during 2.6 year follow-up of patients with stable coronary artery disease. Methods: Cox analyses using out-of-hospital death as a proxy for sudden death compared to in-hospital (nonsudden) death. Result: In 100 of 189 (53%) cardiovascular (CV) deaths in which it was possible to examine the question, there was a strong association between place of death and the classification of CV death as sudden or not-sudden. The excess mortality in the clarithromycin group was confined to sudden CV death in patients not on statins at trial entry (HR: 2.61, 95% CI: 1.69–4.05, p < 0.0005). Other categories of deaths showed no marked drug-placebo difference. Conclusions: Short-term clarithromycin administration was significantly associated with increased risk of sudden CV death in stable coronary heart disease patients not using statins.
U2 - 10.1159/000324533
DO - 10.1159/000324533
M3 - Journal article
VL - 118
SP - 63
EP - 67
JO - Cardiologia
JF - Cardiologia
SN - 0008-6312
IS - 1
ER -
ID: 33564437