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Old Drugs for New Indications in Cardiovascular Medicine
Authors:Yaron Arbel  Wael Abuzeid  Robert S Rosenson  Alanna Weisman  Michael E. Farkouh
Affiliation:1.Department of Cardiology, Tel Aviv Medical Center, Tel Aviv, affiliated to the Sackler School of Medicine,Tel Aviv University,Tel Aviv,Israel;2.Schulich Heart Centre, Division of Cardiology,Sunnybrook Health Sciences Centre, Ontario, Canada, affiliated with the University of Toronto,Toronto,Canada;3.Mount Sinai Icahn School of Medicine,Mount Sinai Hospital,New York,USA;4.Division of Endocrinology & Metabolism, Department of Medicine,University of Toronto,Toronto,Canada;5.Peter Munk Centre, Heart & Stroke Richard Lewar Centre of Excellence,University of Toronto,Toronto,Canada
Abstract:Inflammation participates in the initiation and progression of atherosclerotic cardiovascular disease, and it is a critical inciting factor leading to acute ischemic events. Evidence has shown that certain anti-inflammatory medications used to treat non-atherosclerotic inflammatory diseases reduce cardiovascular events. This article reviews evidence that commonly used anti-inflammatory therapies (colchicine, allopurinol, methotrexate), reduce cardiovascular events. We discuss potential mechanisms of action, efficacy, and safety of these therapies and propose a clinical trials design to investigate their efficacy.
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