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10.1016/j.cmi.2021.02.013

http://scihub22266oqcxt.onion/10.1016/j.cmi.2021.02.013
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33647441!7910147!33647441
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suck abstract from ncbi


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pmid33647441      Clin+Microbiol+Infect 2021 ; 27 (5): 791.e5-8
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  • Serious bradycardia and remdesivir for coronavirus 2019 (COVID-19): a new safety concerns #MMPMID33647441
  • Touafchia A; Bagheri H; Carrie D; Durrieu G; Sommet A; Chouchana L; Montastruc F
  • Clin Microbiol Infect 2021[Feb]; 27 (5): 791.e5-8 PMID33647441show ga
  • OBJECTIVES: In recent clinical trials some cardiac arrhythmias were reported with use of remdesivir for COVID-19. To address this safety concern, we investigated whether use of remdesivir for COVID-19 is associated with an increased risk of bradycardia. METHODS: Using VigiBase(R), the World Health Organization Global Individual Case Safety Reports database, we compared the cases of bradycardia reported in COVID-19 patients exposed to remdesivir with those reported in COVID-19 patients exposed to hydroxychloroquine, lopinavir/ritonavir, tocilizumab or glucocorticoids. All reports of patients with COVID-19 registered up to the 23 September 2020 were included. We conducted disproportionality analyses allowing the estimation of reporting odds ratios (RORs) with 95% CI. RESULTS: We found 302 cardiac effects including 94 bradycardia (31%) among the 2603 reports with remdesivir prescribed in COVID-19 patients. Most of the 94 reports were serious (75, 80%), and in 16 reports (17%) evolution was fatal. Compared with hydroxychloroquine, lopinavir/ritonavir, tocilizumab or glucocorticoids, the use of remdesivir was associated with an increased risk of reporting bradycardia (ROR 1.65; 95% CI 1.23-2.22). Consistent results were observed in other sensitivity analyses. DISCUSSION: This post-marketing study in a real-world setting suggests that the use of remdesivir is significantly associated with an increased risk of reporting bradycardia and serious bradycardia when compared with the use of with hydroxychloroquine, lopinavir/ritonavir, tocilizumab or glucocorticoids. This result is in line with the pharmacodynamic properties of remdesivir.
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