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COMMENTS AND OPINIONS
Cardiovascular Safety of Low-Dose Rosiglitazone
Nasser Mikhail, MD, MSc
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In the trial by Hollander et al,1 the excess rates of cardiovascular (CV) events with rosiglitazone use (2.4% in the 2-mg/d group and 1.4% in the 4-mg/d group vs 0.9% in the placebo group) are of concern because of several reasons. First, these events occurred with rosiglitazone doses as low as 2 mg/d and after short-time exposure to the drug (within 24 weeks). Second, they were in agreement with the overall results of a meta-analysis2 of 42 trials showing that rosiglitazone use was associated with a significant risk of myocardial infarction (odds ratio, 1.43; 95% confidence interval, 1.03-1.98 [P = .03]). The meta-analysis2 included the trial by Hollander et al1 before its publication and peer review, when it was reported in a summary fashion on the Web site of the drug manufacturer. Although the interim data of the randomized RECORD (Rosiglitazone Evaluated for Cardiac Outcomes and . . . [Full Text of this Article] AUTHOR INFORMATION
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ABSTRACT
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