Page last updated: 2024-10-25

citalopram and Coronary Artery Disease

citalopram has been researched along with Coronary Artery Disease in 7 studies

Citalopram: A furancarbonitrile that is one of the serotonin uptake inhibitors used as an antidepressant. The drug is also effective in reducing ethanol uptake in alcoholics and is used in depressed patients who also suffer from TARDIVE DYSKINESIA in preference to tricyclic antidepressants, which aggravate dyskinesia.
citalopram : A racemate comprising equimolar amounts of (R)-citalopram and its enantiomer, escitalopram. It is used as an antidepressant, although only escitalopram is active.
1-[3-(dimethylamino)propyl]-1-(4-fluorophenyl)-1,3-dihydro-2-benzofuran-5-carbonitrile : A nitrile that is 1,3-dihydro-2-benzofuran-5-carbonitrile in which one of the hydrogens at position 1 is replaced by a p-fluorophenyl group, while the other is replaced by a 3-(dimethylamino)propyl group.

Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.

Research Excerpts

ExcerptRelevanceReference
"gov NCT02516332) will evaluate the efficacy of aerobic exercise and escitalopram for improving anxiety symptoms and reducing risk for adverse clinical events in anxious CHD patients."9.22Treatment of anxiety in patients with coronary heart disease: Rationale and design of the UNderstanding the benefits of exercise and escitalopram in anxious patients WIth coroNary heart Disease (UNWIND) randomized clinical trial. ( Ashworth, M; Babyak, MA; Blumenthal, JA; Davidson, J; Feger, BJ; Hinderliter, A; Hoffman, BM; Jiang, W; Kraus, WE; Mabe, SK; Sherwood, A; Smith, PJ; Watkins, LL, 2016)
"Citalopram was superior to placebo in reducing 12-week HAM-D scores (mean difference, 3."6.73Effects of citalopram and interpersonal psychotherapy on depression in patients with coronary artery disease: the Canadian Cardiac Randomized Evaluation of Antidepressant and Psychotherapy Efficacy (CREATE) trial. ( Abramson, BL; Baker, B; Dorian, P; Frasure-Smith, N; Ghatavi, K; Guertin, MC; Koszycki, D; Laliberté, MA; Lespérance, F; Swenson, JR; van Zyl, LT, 2007)
"gov NCT02516332) will evaluate the efficacy of aerobic exercise and escitalopram for improving anxiety symptoms and reducing risk for adverse clinical events in anxious CHD patients."5.22Treatment of anxiety in patients with coronary heart disease: Rationale and design of the UNderstanding the benefits of exercise and escitalopram in anxious patients WIth coroNary heart Disease (UNWIND) randomized clinical trial. ( Ashworth, M; Babyak, MA; Blumenthal, JA; Davidson, J; Feger, BJ; Hinderliter, A; Hoffman, BM; Jiang, W; Kraus, WE; Mabe, SK; Sherwood, A; Smith, PJ; Watkins, LL, 2016)
"The CREATE trial reported that coronary artery disease (CAD) patients suffering from a first depression derived less benefit from citalopram relative to placebo than those with a recurrent depression."5.14First episode of major depressive disorder and vascular factors in coronary artery disease patients: Baseline characteristics and response to antidepressant treatment in the CREATE trial. ( Baker, B; Butler, G; Frasure-Smith, N; Habra, ME; Koszycki, D; Lespérance, F; Swenson, JR; van Zyl, LT, 2010)
"Citalopram was superior to placebo in reducing 12-week HAM-D scores (mean difference, 3."2.73Effects of citalopram and interpersonal psychotherapy on depression in patients with coronary artery disease: the Canadian Cardiac Randomized Evaluation of Antidepressant and Psychotherapy Efficacy (CREATE) trial. ( Abramson, BL; Baker, B; Dorian, P; Frasure-Smith, N; Ghatavi, K; Guertin, MC; Koszycki, D; Laliberté, MA; Lespérance, F; Swenson, JR; van Zyl, LT, 2007)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's4 (57.14)29.6817
2010's3 (42.86)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Alenezi, F1
Brummett, BH1
Boyle, SH1
Samad, Z1
Babyak, MA2
Alzaeim, N1
Wilson, J1
Romano, MMD1
Sun, JL1
Ersboll, M1
O'Connor, CM1
Velazquez, EJ1
Jiang, W2
Blumenthal, JA1
Feger, BJ1
Smith, PJ1
Watkins, LL1
Davidson, J1
Hoffman, BM1
Ashworth, M1
Mabe, SK1
Kraus, WE1
Hinderliter, A1
Sherwood, A1
Habra, ME1
Baker, B2
Frasure-Smith, N2
Swenson, JR2
Koszycki, D2
Butler, G1
van Zyl, LT2
Lespérance, F2
Laliberté, MA1
Ghatavi, K1
Abramson, BL1
Dorian, P1
Guertin, MC1
Glassman, AH1
Bigger, JT1
Ziegelstein, RC1
Dornelas, EA1
Burg, MM1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Exercise and Pharmacotherapy for Anxiety in Cardiac Patients[NCT02516332]128 participants (Actual)Interventional2015-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Baroreflex Sensitivity, ms/mm Hg

To assess baroreflex sensitivity (BRS), beat-by-beat systolic blood pressure (SBP) and heart rate (HR) were collected using the Nexfin noninvasive BP monitor (Bmeye, Amsterdam, Netherlands). BRS was estimated from the magnitude of the transfer function relating R-R interval oscillations to SBP oscillations across the 0.07 to 0.1299 Hz, or low frequency band. (NCT02516332)
Timeframe: Baseline, 3 months

Interventionms/mm Hg (Least Squares Mean)
Supervised Aerobic Exercise1.2
Lexapro1.3
Placebo1.5

Change in Heart Rate Variability, SDNN (Msec)

To quantify heart rate variability (HRV), an electrocardiogram was recorded for 24-hours using the 3-channel DigiTrak XT Holter recorder (Philips Healthcare, Andover, Massachusetts). Electrocardiographic data were downloaded and edited using the Philips Zymed Holter analysis software (2010 Plus/1810 series) and HRV was estimated from the standard deviation of the normal-to-normal R-R intervals (SDNN). (NCT02516332)
Timeframe: Baseline, 3 months

Interventionmsec (Least Squares Mean)
Supervised Aerobic Exercise-0.3
Lexapro-8.7
Placebo-1.1

Change in Hospital Anxiety and Depression Scale (HADS), Anxiety

The Hospital Anxiety and Depression Scale, Anxiety, is a 7-item subscale with scores ranging from 0-21, with higher scores indicating more anxiety. (NCT02516332)
Timeframe: Baseline, 3 months

Interventionscore on a scale (Least Squares Mean)
Supervised Aerobic Exercise-3.9
Lexapro-5.7
Placebo-3.5

Change in Inflammation (C-Reactive Protein, ug/ml)

High-sensitivity C-reactive protein was quantified by ELISA (LabCorp). Values >10 mg/L were truncated at 10 to account for acute inflammatory processes that may have skewed the distribution of this blood marker. (NCT02516332)
Timeframe: Baseline, 3 months

Interventionug/ml (Least Squares Mean)
Supervised Aerobic Exercise-0.2
Lexapro0.1
Placebo-0.3

Change in Urinary Catecholamines (Epinephrine and Norepinephrine, Unit-weighted Z-score)

Urinary catecholamines, an index of sympathetic nervous system (SNS) activity, served as a biomarker of anxiety. Urinary concentrations of epinephrine (EPI) and norepinephrine (NE) were determined by high-pressure liquid chromatography (HPLC) with electrochemical detection (LabCorp). A composite 24-hr catecholamines z-score is presented. The z-score is the raw score minus the population mean, divided by the population standard deviation. A Z-score of 0 is equal to the mean. Negative numbers indicate values lower than the mean and positive numbers indicate values higher than the mean. (NCT02516332)
Timeframe: Baseline, 3 months

Interventionz-score (Least Squares Mean)
Supervised Aerobic Exercise0.05
Lexapro-0.24
Placebo0.36

Change in Vascular Endothelial Function, Percentage of Dilation

Endothelial function, assessed by Flow-Mediated Dilation (FMD), was determined from longitudinal B-mode ultrasound images of the brachial artery. Images were obtained using an Acuson (Mountain View, California) Aspen ultrasound platform with an 11-MHz linear-array transducer after 10 min of supine relaxation and during reactive hyperemia, induced by the inflation of a forearm pneumatic occlusion cuff to suprasystolic pressure (about 200 mm Hg) and subsequent deflation after 5 min. FMD was defined as the maximum percentage change in arterial diameter relative to resting baseline from 10 to 120 s after deflation of the occlusion cuff. (NCT02516332)
Timeframe: Baseline, 3 months

Interventionpercentage of dilation (Least Squares Mean)
Supervised Aerobic Exercise0.7
Lexapro0.5
Placebo0.5

Change in Lipids - Total Cholesterol, LDL (Low-density Lipoprotein), and HDL (High-density Lipoprotein); mg/dL

Lipids were obtained from fasting blood samples and assays were measured enzymatically (LabCorp). (NCT02516332)
Timeframe: Baseline, 3 months

,,
Interventionmg/dL (Least Squares Mean)
Total CholesterolLDLHDL
Lexapro-15.3-9.83.4
Placebo-31.6-19.37.2
Supervised Aerobic Exercise-28.2-18.66.3

Trials

4 trials available for citalopram and Coronary Artery Disease

ArticleYear
Usefulness of Myocardial Annular Velocity Change During Mental Stress to Predict Cardiovascular Outcome in Patients With Coronary Artery Disease (From the Responses of Mental Stress-Induced Myocardial Ischemia to Escitalopram Treatment Trial).
    The American journal of cardiology, 2017, Nov-01, Volume: 120, Issue:9

    Topics: Aged; Antidepressive Agents, Second-Generation; Blood Flow Velocity; Citalopram; Coronary Artery Dis

2017
Treatment of anxiety in patients with coronary heart disease: Rationale and design of the UNderstanding the benefits of exercise and escitalopram in anxious patients WIth coroNary heart Disease (UNWIND) randomized clinical trial.
    American heart journal, 2016, Volume: 176

    Topics: Adult; Anxiety; Biomarkers; Citalopram; Coronary Artery Disease; Diagnostic and Statistical Manual o

2016
First episode of major depressive disorder and vascular factors in coronary artery disease patients: Baseline characteristics and response to antidepressant treatment in the CREATE trial.
    Journal of psychosomatic research, 2010, Volume: 69, Issue:2

    Topics: Adrenergic beta-Antagonists; Adult; Aged; Aged, 80 and over; Angiotensin-Converting Enzyme Inhibitor

2010
Effects of citalopram and interpersonal psychotherapy on depression in patients with coronary artery disease: the Canadian Cardiac Randomized Evaluation of Antidepressant and Psychotherapy Efficacy (CREATE) trial.
    JAMA, 2007, Jan-24, Volume: 297, Issue:4

    Topics: Aged; Citalopram; Coronary Artery Disease; Depressive Disorder, Major; Female; Humans; Male; Middle

2007

Other Studies

3 other studies available for citalopram and Coronary Artery Disease

ArticleYear
Antidepressants in coronary heart disease: SSRIs reduce depression, but do they save lives?
    JAMA, 2007, Jan-24, Volume: 297, Issue:4

    Topics: Citalopram; Coronary Artery Disease; Depressive Disorder, Major; Humans; Psychotherapy, Brief; Selec

2007
Treatment of depression in patients with coronary artery disease.
    JAMA, 2007, May-02, Volume: 297, Issue:17

    Topics: Aged; Citalopram; Coronary Artery Disease; Depressive Disorder, Major; Humans; Middle Aged; Psychoth

2007
Treatment of depression in patients with coronary artery disease.
    JAMA, 2007, May-02, Volume: 297, Issue:17

    Topics: Citalopram; Coronary Artery Disease; Depressive Disorder, Major; Humans; Psychotherapy, Brief; Selec

2007