Page last updated: 2024-10-26

diclofenac and Myocardial Infarction

diclofenac has been researched along with Myocardial Infarction in 54 studies

Diclofenac: A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt.
diclofenac : A monocarboxylic acid consisting of phenylacetic acid having a (2,6-dichlorophenyl)amino group at the 2-position.

Myocardial Infarction: NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).

Research Excerpts

ExcerptRelevanceReference
"The popular over-the counter analgesic drug diclofenac has recently been associated with increased rates of myocardial infarction among patients with cardiovascular risk as well as among healthy populations."8.86A Review on the risk of myocardial infarction associated with the NSAID diclofenac. ( Krötz, F; Struthmann, L, 2010)
"Tramadol has been widely used among patients with osteoarthritis (OA); however, there is paucity of information on its cardiovascular risk."7.96Association of tramadol with risk of myocardial infarction among patients with osteoarthritis. ( Choi, HK; Dubreuil, M; LaRochelle, MR; Lei, G; Lin, J; Lu, N; Tomasson, G; Wei, J; Wood, MJ; Zeng, C; Zhang, Y, 2020)
"A patient in whom acute myocardial infarction developed during diclofenac-induced anaphylaxis is described."7.75Acute ST-segment elevation myocardial infarction associated with diclofenac-induced anaphylaxis: case report. ( de Groot, JW; Gosselink, AT; Ottervanger, JP, 2009)
"To explore further a recent finding that long-term users of diclofenac are at increased risk of acute myocardial infarction (AMI) similar to users of rofecoxib and celecoxib."7.74Diclofenac and acute myocardial infarction in patients with no major risk factors. ( Jick, H; Jick, SS; Kaye, JA, 2007)
"Celecoxib and rofecoxib were associated with different odds of MI."5.33Patients exposed to rofecoxib and celecoxib have different odds of nonfatal myocardial infarction. ( Berlin, JA; Chittams, J; Jaskowiak, J; Kimmel, SE; Kishel, L; Reilly, M; Strom, BL, 2005)
" An increased risk of acute myocardial infarction and heart failure is observed with all NSAIDs, while an elevated risk of hemorrhagic stroke appears to be restricted to the use of diclofenac and meloxicam."5.01Safety of Oral Non-Selective Non-Steroidal Anti-Inflammatory Drugs in Osteoarthritis: What Does the Literature Say? ( Al-Daghri, N; Bruyère, O; Chapurlat, R; Cooper, C; Herrero-Beaumont, G; Rannou, F; Reginster, JY; Roth, R; Uebelhart, D, 2019)
" Keywords: nonsteroidal anti-inflammatory drugs, cardiovascular diseases, cardiovascular risk, lornoxicam, diclofenac sodium, thrombo-elastogram, myocardial infarction, stroke."5.01Safety of nonsteroidal anti-inflammatory drugs in patients with cardiovascular risk. ( Khovasova, NO; Naumov, AV; Tkacheva, ON, 2019)
"The popular over-the counter analgesic drug diclofenac has recently been associated with increased rates of myocardial infarction among patients with cardiovascular risk as well as among healthy populations."4.86A Review on the risk of myocardial infarction associated with the NSAID diclofenac. ( Krötz, F; Struthmann, L, 2010)
" We used a Mantel-Haenszel method to obtain odds ratios (ORs) of the association between NSAID use (ibuprofen, naproxen, or diclofenac) and MACE (myocardial infarction, ischemic stroke, heart failure, or all-cause death)."4.31Impact of Lifestyle and Socioeconomic Position on the Association Between Non-steroidal Anti-inflammatory Drug Use and Major Adverse Cardiovascular Events: A Case-Crossover Study. ( Bonnesen, K; Ehrenstein, V; Grønkjær, MS; Hallas, J; Lash, TL; Pedersen, L; Schmidt, M; Sørensen, HT, 2023)
" After applying these weights in a pooled logistic regression, we estimated hazard ratios (HRs) of the association between use of NSAIDs (ibuprofen, naproxen, or diclofenac) and cardiovascular events (a composite of myocardial infarction, ischemic stroke, congestive heart failure, atrial fibrillation or flutter, and all-cause death)."4.31Impact of hemoglobin A1c level on the association between non-steroidal anti-inflammatory drug use and cardiovascular events in patients with type 2 diabetes: A population-based cohort study. ( Bonnesen, K; Ehrenstein, V; Lash, TL; Pedersen, L; Schmidt, M; Sørensen, HT, 2023)
"Tramadol has been widely used among patients with osteoarthritis (OA); however, there is paucity of information on its cardiovascular risk."3.96Association of tramadol with risk of myocardial infarction among patients with osteoarthritis. ( Choi, HK; Dubreuil, M; LaRochelle, MR; Lei, G; Lin, J; Lu, N; Tomasson, G; Wei, J; Wood, MJ; Zeng, C; Zhang, Y, 2020)
"A 62-year-old male smoker with no other comorbidities presented to emergency department with systemic anaphylaxis, due to oral diclofenac for toothache."3.79Cardiac anaphylaxis: a case of acute ST-segment elevation myocardial infarction after IM epinephrine for anaphylactic shock. ( Chandrashekaran, R; Ganeshwala, G; Maniyal, VK; Mathew, N; Tummala, K, 2013)
"We evaluated 2-year CV outcomes in a prospective, nested biomarker study among patients (N = 6273) with rheumatoid arthritis and osteoarthritis treated with NSAID in the MEDAL (Multinational Etoricoxib and Diclofenac Arthritis Long-term) trial."3.77Evaluation of NT-proBNP and high sensitivity C-reactive protein for predicting cardiovascular risk in patients with arthritis taking longterm nonsteroidal antiinflammatory drugs. ( Brune, K; Cannon, CP; Contant, CF; Curtis, SP; Jarolim, P; Kaur, A; Laine, L; Morrow, DA; Ren, F; Ruff, CT, 2011)
"This was a post hoc analysis from the INternational VErapamil Trandolapril STudy (INVEST), which enrolled patients with hypertension and coronary artery disease."3.77Harmful effects of NSAIDs among patients with hypertension and coronary artery disease. ( Bavry, AA; Cooper-Dehoff, RM; Gong, Y; Handberg, EM; Khaliq, A; Pepine, CJ, 2011)
"A patient in whom acute myocardial infarction developed during diclofenac-induced anaphylaxis is described."3.75Acute ST-segment elevation myocardial infarction associated with diclofenac-induced anaphylaxis: case report. ( de Groot, JW; Gosselink, AT; Ottervanger, JP, 2009)
" Naproxen users had the lowest adjusted rates of serious coronary heart disease (myocardial infarction, coronary heart disease death) and serious cardiovascular disease (myocardial infarction, stroke)/death from any cause, with respective incidence rate ratios (relative to NSAID nonusers) of 0."3.75Cardiovascular risks of nonsteroidal antiinflammatory drugs in patients after hospitalization for serious coronary heart disease. ( Arbogast, PG; Castellsague, J; Chung, CP; Daugherty, JR; García-Rodríguez, LA; Murray, KT; Ray, WA; Stein, CM; Varas-Lorenzo, C, 2009)
"To investigate the risk of myocardial infarction (MI) with diclofenac, ibuprofen and naproxen, taking into account the exposure patterns."3.74Does the varied use of NSAIDs explain the differences in the risk of myocardial infarction? ( Leufkens, HG; Rietbrock, S; Setakis, E; van Staa, TP, 2008)
"To evaluate the association between rofecoxib, celecoxib, diclofenac, and ibuprofen and the risk of hospitalization for acute myocardial infarction (AMI) in an elderly population."3.74Association between nonnaproxen NSAIDs, COX-2 inhibitors and hospitalization for acute myocardial infarction among the elderly: a retrospective cohort study. ( Kong, SX; LeLorier, J; Rahme, E; Toubouti, Y; Watson, DJ, 2007)
"To explore further a recent finding that long-term users of diclofenac are at increased risk of acute myocardial infarction (AMI) similar to users of rofecoxib and celecoxib."3.74Diclofenac and acute myocardial infarction in patients with no major risk factors. ( Jick, H; Jick, SS; Kaye, JA, 2007)
"To simultaneously assess the short-term reduction in risk of gastrointestinal (GI) complications and increase in risk of acute myocardial infarction (MI) by celecoxib compared with rofecoxib and several nonselective nonsteroidal antiinflammatory drugs (NSAIDs) using instrumental variable analysis."3.73Simultaneous assessment of short-term gastrointestinal benefits and cardiovascular risks of selective cyclooxygenase 2 inhibitors and nonselective nonsteroidal antiinflammatory drugs: an instrumental variable analysis. ( Brookhart, MA; Rassen, J; Schneeweiss, S; Solomon, DH; Wang, PS, 2006)
" An increased risk was observed for diclofenac and rofecoxib, the latter one with a clear dose-response trend."2.43Non-steroidal antiinflammatory drugs and the risk of acute myocardial infarction. ( García Rodríguez, LA; Hernández-Díaz, S; Varas-Lorenzo, C, 2006)
"Naproxen was not associated with any increase (adjusted OR 1."1.48Risk of myocardial infarction with use of selected non-steroidal anti-inflammatory drugs in patients with spondyloarthritis and osteoarthritis. ( Choi, HK; Dubreuil, M; Louie-Gao, Q; Neogi, T; Peloquin, CE; Zhang, Y, 2018)
"We propose a practical group sequential method, a conditional sequential sampling procedure, to test if a drug of interest (D) leads to an elevated risk for an adverse event E compared with a comparison drug C."1.35A conditional sequential sampling procedure for drug safety surveillance. ( Li, L, 2009)
"Celecoxib and rofecoxib were associated with different odds of MI."1.33Patients exposed to rofecoxib and celecoxib have different odds of nonfatal myocardial infarction. ( Berlin, JA; Chittams, J; Jaskowiak, J; Kimmel, SE; Kishel, L; Reilly, M; Strom, BL, 2005)
"Naproxen was associated with an OR of 0."1.32Nonsteroidal antiinflammatory drugs and the risk of myocardial infarction in the general population. ( García Rodríguez, LA; González-Pérez, A; Maguire, A; Varas-Lorenzo, C, 2004)

Research

Studies (54)

TimeframeStudies, this research(%)All Research%
pre-19901 (1.85)18.7374
1990's2 (3.70)18.2507
2000's22 (40.74)29.6817
2010's23 (42.59)24.3611
2020's6 (11.11)2.80

Authors

AuthorsStudies
Baak, BN1
Jick, SS4
Bonnesen, K2
Pedersen, L2
Ehrenstein, V2
Grønkjær, MS1
Sørensen, HT2
Hallas, J2
Lash, TL2
Schmidt, M3
Ernst, MT1
Pottegård, A1
Wei, J1
Wood, MJ1
Dubreuil, M3
Tomasson, G1
LaRochelle, MR1
Zeng, C1
Lu, N1
Lin, J1
Choi, HK2
Lei, G1
Zhang, Y3
Moore, N1
Seo, KW1
Park, JS1
Tahk, SJ1
Shin, JH1
Dalal, D1
Peloquin, C1
Neogi, T2
Choi, H1
Felson, D1
Chen, YR1
Hsieh, FI1
Chang, CC1
Chi, NF1
Wu, HC1
Chiou, HY1
Louie-Gao, Q1
Peloquin, CE1
Franken, PR1
Woltersdorf, R1
Masclee, GMC1
Straatman, H1
Arfè, A1
Castellsague, J2
Garbe, E1
Herings, R1
Kollhorst, B1
Lucchi, S1
Perez-Gutthann, S1
Romio, S1
Schade, R1
Schink, T1
Schuemie, MJ1
Scotti, L1
Varas-Lorenzo, C4
Valkhoff, VE1
Villa, M1
Sturkenboom, MCJM1
Cooper, C1
Chapurlat, R1
Al-Daghri, N1
Herrero-Beaumont, G1
Bruyère, O1
Rannou, F1
Roth, R1
Uebelhart, D1
Reginster, JY1
Naumov, AV1
Tkacheva, ON1
Khovasova, NO1
Tummala, K2
Maniyal, VK2
Chandrashekaran, R1
Mathew, N1
Ganeshwala, G1
Bhala, N1
Emberson, J1
Merhi, A1
Abramson, S1
Arber, N1
Baron, JA1
Bombardier, C1
Cannon, C1
Farkouh, ME1
FitzGerald, GA1
Goss, P1
Halls, H1
Hawk, E1
Hawkey, C1
Hennekens, C1
Hochberg, M1
Holland, LE1
Kearney, PM1
Laine, L2
Lanas, A1
Lance, P1
Laupacis, A1
Oates, J1
Patrono, C1
Schnitzer, TJ1
Solomon, S1
Tugwell, P1
Wilson, K1
Wittes, J1
Baigent, C1
Senthilkumaran, S1
Menezes, RG1
Ibrahim, SM1
Thirumalaikolundusubramanian, P1
Uehara, Y1
Murata, Y1
Shiga, S1
Hosoi, Y1
van Staa, TP1
Rietbrock, S1
Setakis, E1
Leufkens, HG1
Merkely, B1
Tóth-Zsamboki, E1
Becker, D1
Beres, BJ1
Szabó, G1
Vargova, K1
Fülöp, G1
Kerecsen, G1
Preda, I1
Spaulding, C1
Kiss, RG1
de Groot, JW1
Gosselink, AT1
Ottervanger, JP1
Li, L1
Ray, WA1
Chung, CP1
Murray, KT1
Stein, CM1
Daugherty, JR1
Arbogast, PG1
García-Rodríguez, LA1
Krötz, F1
Struthmann, L1
Ruff, CT1
Morrow, DA1
Jarolim, P1
Ren, F1
Contant, CF1
Kaur, A1
Curtis, SP1
Cannon, CP1
Brune, K1
Schjerning Olsen, AM1
Fosbøl, EL2
Lindhardsen, J2
Folke, F2
Charlot, M1
Selmer, C1
Lamberts, M1
Bjerring Olesen, J1
Køber, L3
Hansen, PR2
Torp-Pedersen, C3
Gislason, GH3
Bavry, AA1
Khaliq, A1
Gong, Y1
Handberg, EM1
Cooper-Dehoff, RM1
Pepine, CJ1
Grimaldi-Bensouda, L1
Rossignol, M1
Danchin, N1
Steg, PG1
Bessede, G1
Ovize, M1
Cottin, Y1
Autret-Leca, E1
Benichou, J1
Abenhaim, L1
Naimer, S1
Alla, VM1
Kanuri, S1
Esterbrooks, D1
Altman, R1
Gonzalez, CD1
Olsen, AM1
Andersson, C1
Nielsen, MB1
Blanco, VM1
Möller, I1
Catalán, F1
Casares, G1
García Rodríguez, LA2
Maguire, A1
González-Pérez, A1
Kimmel, SE1
Berlin, JA1
Reilly, M1
Jaskowiak, J1
Kishel, L1
Chittams, J1
Strom, BL1
Wieckhorst, A1
Tiroke, A1
Lins, M1
Reinecke, A1
Herrmann, G1
Krüger, D1
Simon, R1
Hernández-Díaz, S1
Jacobsen, S1
Rasmussen, JN1
Rasmussen, S1
Buch, P1
Friberg, J1
Schramm, TK1
Abildstrom, SZ1
Madsen, M1
Schneeweiss, S1
Solomon, DH1
Wang, PS1
Rassen, J1
Brookhart, MA1
Rahme, E1
Watson, DJ1
Kong, SX1
Toubouti, Y1
LeLorier, J1
Kaye, JA2
Jick, H2
Chen, LC1
Ashcroft, DM1
Singh, H1
Sim, TB1
Hennekens, CH1
Borzak, S1
Viigimaa, M1
Jôudu, T1
Hendrikson, E1
Shandrik, Y1
Teesalu, R1
Koren, W1
Shahar, A1
Boulanger, CM1
Scoazec, A1
Ebrahimian, T1
Henry, P1
Mathieu, E1
Tedgui, A1
Mallat, Z1
Michot, F1
Ajdacic, K1
Glaus, L1

Clinical Trials (8)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
WilL LOWer Dose Aspirin be More Effective Following ACS? (WILLOW-ACS)[NCT02741817]Phase 420 participants (Actual)Interventional2016-06-26Completed
Astaxanthin Effects on Osteoarthritis Associated Pain and Inflammatory Indicators[NCT03664466]0 participants (Actual)Interventional2021-04-29Withdrawn (stopped due to Inadequate funding)
Analgesic Efficacy of Preoperative Oral Administration of Dexketoprofen Trometamol in Third Molar Surgery, Compared to Postoperative Administration[NCT02380001]Phase 460 participants (Actual)Interventional2015-01-31Completed
Treatment Efficacy of 'Shinbaro Capsule' in the Treatment of Hand Osteoarthritis: Randomized, Double-blinded, Placebo-controlled, Multicenter Investigator Initiated Trial.[NCT01910116]Phase 2/Phase 3220 participants (Actual)Interventional2013-09-30Completed
Effects on Omission of NSAIDs on the Consumption of Opioids in the Standard Analgesic Regimen After Elective Laparoscopic Colorectal Cancer Resection in an ERAS Setting. A Retrospective Single-center Cohort Study.[NCT04448652]502 participants (Actual)Observational [Patient Registry]2015-01-01Completed
A Phase IIa Randomized, Active-controlled, Double-blind, Dose-escalation Study in Patients With Vulvovaginal Candidiasis to Evaluate Dose Response Relationship of Clinical Efficacy, Safety and Tolerability of Topically Administered ProF-001[NCT03115073]Phase 2/Phase 384 participants (Actual)Interventional2017-04-04Completed
Single and Repeated Leech Therapy for the Treatment of Late Stage Knee Osteoarthritis. A Randomized, Placebo Controlled Comparative Trial[NCT00435773]Phase 2118 participants Interventional2004-02-29Completed
The Impact of Microparticles on Inflammatory Responses During Visceral and Cardiac Surgery[NCT00677781]108 participants (Actual)Observational2008-02-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

AUSCAN Function Change at 12 Weeks From Baseline

"Change in AUSCAN function score at 12 weeks from baseline = Function score at 12 weeks (0-100)- Function score at baseline (0-100). AUSCAN Function score scale ranges from 0 (no functional limitation) to 100 (worst possible functional limitation).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 12 weeks

Interventionunits on a scale (Median)
Shinbaro-11
Placebo-2.9

AUSCAN Function Change at 16 Weeks From Baseline

"Change in AUSCAN function score at 16 weeks from baseline = Function score at 16 weeks (0-100)- Function score at baseline (0-100). AUSCAN Function score scale ranges from 0 (no functional limitation) to 100 (worst possible functional limitation).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 16 weeks

Interventionunits on a scale (Median)
Shinbaro-9.9
Placebo-4.8

AUSCAN Function Change at 4 Weeks From Baseline

"Change in AUSCAN function score at 4 weeks from baseline = Function score at 4 weeks (0-100)- Function score at baseline (0-100). AUSCAN Function score scale ranges from 0 (no functional limitation) to 100 (worst possible functional limitation).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Basline and 4 weeks

Interventionunits on a scale (Median)
Shinbaro-6.8
Placebo-3.7

AUSCAN Function Change at 8 Weeks From Baseline

"Change in AUSCAN function score at 8 weeks from baseline = Function score at 8 weeks (0-100)- Function score at baseline (0-100). AUSCAN Function score scale ranges from 0 (no functional limitation) to 100 (worst possible functional limitation).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Shinbaro-9.7
Placebo-4.8

AUSCAN Pain Change at 4 Weeks From Baseline

"Change in AUSCAN pain score at 4 weeks from baseline = Pain at 4 weeks (0-100) - Pain at baseline (0-100).~AUSCAN Pain scale ranges from 0 (no pain) to 100 (worst possible pain).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 4 weeks

Interventionunits on a scale (Median)
Shinbaro-9.0
Placebo-2.2

AUSCAN Pain Score at 12 Weeks From Baseline

"Change in AUSCAN pain score at 12 weeks from baseline = Pain at 12 weeks (0-100)- Pain at baseline (0-100). AUSCAN Pain scale ranges from 0 (no pain) to 100 (worst possible pain).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline, 12 weeks

Interventionunits on a scale (Median)
Shinbaro-14.6
Placebo-8.0

AUSCAN Pain Score at 16 Weeks From Baseline

"Change in AUSCAN pain score at 16 weeks from baseline = Pain at 16 weeks (0-100)- Pain at baseline (0-100). AUSCAN Pain scale ranges from 0 (no pain) to 100 (worst possible pain).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 16 weeks

Interventionunits on a scale (Median)
Shinbaro-15.6
Placebo-4.4

AUSCAN Pain Score at 8 Weeks From Baseline

"Change in AUSCAN pain score at 8 weeks from baseline = Pain at 8 weeks (0-100)- Pain at baseline (0-100). AUSCAN Pain scale ranges from 0 (no pain) to 100 (worst possible pain).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline, 8 weeks

Interventionunits on a scale (Median)
Shinbaro-13.4
Placebo-2.2

AUSCAN Stiffness at 12 Weeks Change From Baseline

"Change in AUSCAN stiffness score at 12 weeks from baseline = Stiffness at 12 weeks (0-100)- Stiffness at baseline (0-100). AUSCAN Stiffness scale ranges from 0 (no stiffness) to 100 (worst possible stiffness).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Basline and 12 weeks

Interventionunits on a scale (Median)
Shinbaro-14.0
Placebo-11.0

AUSCAN Stiffness at 16 Weeks Change From Baseline

"Change in AUSCAN stiffness score at 16 weeks from baseline = Stiffness at 16 weeks (0-100)- Stiffness at baseline (0-100). AUSCAN Stiffness scale ranges from 0 (no stiffness) to 100 (worst possible stiffness).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline, 16 weeks

Interventionunits on a scale (Median)
Shinbaro-10.0
Placebo-8.0

AUSCAN Stiffness at 4 Weeks Change From Baseline

"Change in AUSCAN stiffness score at 4 weeks from baseline = Stiffness at 4 weeks (0-100)- Stiffness at baseline (0-100). AUSCAN Stiffness scale ranges from 0 (no stiffness) to 100 (worst possible stiffness).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 4 weeks

Interventionunits on a scale (Median)
Shinbaro-9.0
Placebo-6.0

AUSCAN Stiffness at 8 Weeks Change From Baseline

"Change in AUSCAN stiffness score at 8 weeks from baseline = Stiffness at 8 weeks (0-100)- Stiffness at baseline (0-100). AUSCAN Stiffness scale ranges from 0 (no stiffness) to 100 (worst possible stiffness).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: baseline and 8 weeks

Interventionunits on a scale (Median)
Shinbaro-12.0
Placebo-6

Number of OMERACT-OARSI Responder

Number of patients who met OMERACT-OARSI criteria = significant clinical improvement in osteoarthritis symptom after treatment (NCT01910116)
Timeframe: Baselie and 16 weeks

Interventionparticipants (Number)
Shinbaro55
Placebo40

Patient Global Assessment, Change From Baseline

"Change in Patient global assessment (PGA) at 12 weeks from baseline = PGA at 12 weeks (0-100)- PGA score at baseline (0-100). GPA scale ranges from 0 (excellent condition) to 100 (worst possible worse possible condition).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 12 weeks

Interventionunits on a scale (Median)
Shinbaro-11.0
Placebo-6.0

Patient Global Assessment, Change From Baseline

"Change in Patient global assessment (PGA) at 16 weeks from baseline = PGA at 16 weeks (0-100)- PGA score at baseline (0-100). PGA scale ranges from 0 (excellent condition) to 100 (worst possible worse possible condition).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 16 weeks

Interventionunits on a scale (Median)
Shinbaro-10.0
Placebo-8.5

Patient Global Assessment, Change From Baseline

"Change in Patient global assessment (PGA) at 4 weeks from baseline = PGA at 4 weeks (0-100)- PGA score at baseline (0-100). PGA scale ranges from 0 (excellent condition) to 100 (worst possible worse possible condition).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 4 weeks

Interventionunits on a scale (Median)
Shinbaro-9.0
Placebo-3.0

Patient Global Assessment, Change From Baseline

"Change in Patient global assessment (PGA) at 8 weeks from baseline = PGA at 8 weeks (0-100)- PGA score at baseline (0-100). PGA scale ranges from 0 (excellent condition) to 100 (worst possible worse possible condition).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Shinbaro-10.0
Placebo-6.0

Physician Global Assessment, Change From Baseline

"Change in Physician global assessment (PhGA) at 12 weeks from baseline = PhGA at 12 weeks (0-100)- PhGA score at baseline (0-100). PhGA scale ranges from 0 (excellent condition) to 100 (worst possible worse possible condition).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 12 weeks

Interventionunits on a scale (Median)
Shinbaro-19.0
Placebo-13

Physician Global Assessment, Change From Baseline

"Change in Physician global assessment (PhGA) at 16 weeks from baseline = PhGA at 16 weeks (0-100)- PhGA score at baseline (0-100). PhGA scale ranges from 0 (excellent condition) to 100 (worst possible worse possible condition).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 16 weeks

Interventionunits on a scale (Median)
Shinbaro-12
Placebo-6.5

Physician Global Assessment, Change From Baseline

"Change in Physician global assessment (PhGA) at 4 weeks from baseline = PhGA at 4 weeks (0-100)- PhGA score at baseline (0-100). GPA scale ranges from 0 (excellent condition) to 100 (worst possible worse possible condition).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: baseline and 4 weeks

Interventionunits on a scale (Median)
Shinbaro-12
Placebo-7.0

Physician Global Assessment, Change From Baseline

"Change in Physician global assessment (PhGA) at 8 weeks from baseline = PhGA at 8 weeks (0-100)- PhGA score at baseline (0-100). PhGA scale ranges from 0 (excellent condition) to 100 (worst possible worse possible condition).~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 8 weeks

Interventionunits on a scale (Median)
Shinbaro-16.0
Placebo-11.5

Swollen Joint Count, Change From Baseline

"Change in Swollen joint count (SJC) at 12 weeks from baseline = SJC at 12 weeks - TJC at baseline..~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 12 weeks

InterventionJoints (Median)
Shinbaro0
Placebo0

Swollen Joint Count, Change From Baseline

"Change in Swollen joint count (SJC) at 16 weeks from baseline = SJC at 16 weeks - TJC at baseline..~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 16 weeks

InterventionJoints (Median)
Shinbaro0
Placebo0

Swollen Joint Count, Change From Baseline

"Change in Swollen joint count (SJC) at 4 weeks from baseline = SJC at 4 weeks - TJC at baseline..~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 4 weeks

InterventionJoints (Median)
Shinbaro0
Placebo0

Swollen Joint Count, Change From Baseline

"Change in Swollen joint count (SJC) at 8 weeks from baseline = SJC at 8 weeks - TJC at baseline..~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 8 weeks

InterventionJoints (Median)
Shinbaro0
Placebo0

Tender Joint Count, Change From Baseline

"Change in Tender joint count (TJC) at 12 weeks from baseline = TJC at 12 weeks - TJC at baseline..~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 12 weeks

Interventionjoints (Median)
Shinbaro-2.0
Placebo-1.0

Tender Joint Count, Change From Baseline

"Change in Tender joint count (TJC) at 16 weeks from baseline = TJC at 16 weeks - TJC at baseline..~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 16 weeks

Interventionjoints (Median)
Shinbaro-2.0
Placebo-1.0

Tender Joint Count, Change From Baseline

"Change in Tender joint count (TJC) at 4 weeks from baseline = TJC at 4 weeks - TJC at baseline..~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 4 weeks

Interventionjoints (Median)
Shinbaro-1
Placebo0

Tender Joint Count, Change From Baseline

"Change in Tender joint count (TJC) at 8 weeks from baseline = TJC at 8 weeks - TJC at baseline..~Negative value means improvement from baseline~Positive value means deterioration from baseline" (NCT01910116)
Timeframe: Baseline and 8 weeks

InterventionJoints (Median)
Shinbaro-1.0
Placebo-1.0

Acetaminophen Rescue

yes = AAP rescue use, no = no AAP rescue use (NCT01910116)
Timeframe: 12 weeks and 16 weeks

,
Interventionparticipants (Number)
yesno
Placebo2104
Shinbaro4105

Acetaminophen Rescue

yes = AAP rescue use, no = no AAP rescue use (NCT01910116)
Timeframe: 4 weeks and 8 weeks

,
Interventionparticipants (Number)
yesno
Placebo799
Shinbaro1099

Acetaminophen Rescue

yes = AAP rescue use, no = no AAP rescue use (NCT01910116)
Timeframe: 8 weeks and 12 weeks

,
Interventionparticipants (Number)
yesno
Placebo4102
Shinbaro4105

Acetaminophen Rescue

yes = AAP rescue use, no = no AAP rescue use (NCT01910116)
Timeframe: Baseline 4 weeks

,
Interventionparticipants (Number)
yesno
Placebo4102
Shinbaro7102

Number of OMERACT-OARSI Responder

Number of patients who met OMERACT-OARSI criteria = significant clinical improvement in osteoarthritis symptom after treatment (NCT01910116)
Timeframe: Baseline and 12 weeks

,
Interventionparticipants (Number)
respondernonresponder
Placebo4363
Shinbaro6247

Number of OMERACT-OARSI Responder

Number of patients who met OMERACT-OARSI criteria = significant clinical improvement in osteoarthritis symptom after treatment (NCT01910116)
Timeframe: Baseline and 8 weeks

,
Interventionparticipants (Number)
respondernonresponder
Placebo3868
Shinbaro5653

Number of OMERACT-OARSI Responder

Outcome Measures in Rheumatology-Osteoarthritis Research Society International (OMERACT-OARSI) Number of patients who met OMERACT-OARSI criteria = significant clinical improvement in osteoarthritis symptom after treatment (NCT01910116)
Timeframe: Baseline and 4 weeks

,
Interventionparticipants (Number)
ResponderNonresponder
Placebo3274
Shinbaro4861

Reviews

7 reviews available for diclofenac and Myocardial Infarction

ArticleYear
Coronary Risks Associated with Diclofenac and Other NSAIDs: An Update.
    Drug safety, 2020, Volume: 43, Issue:4

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Cardiotoxicity; Cardiovascular Diseases; Cyclooxygenase 2 I

2020
Safety of Oral Non-Selective Non-Steroidal Anti-Inflammatory Drugs in Osteoarthritis: What Does the Literature Say?
    Drugs & aging, 2019, Volume: 36, Issue:Suppl 1

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Arthralgia; Diclofenac; Gastrointestinal Diseases; Humans;

2019
Safety of nonsteroidal anti-inflammatory drugs in patients with cardiovascular risk.
    Terapevticheskii arkhiv, 2019, Mar-11, Volume: 91, Issue:1

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Cardiovascular Diseases; Cyclooxygenase 2 Inhibitors; Diclo

2019
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials.
    Lancet (London, England), 2013, Aug-31, Volume: 382, Issue:9894

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Blood Vessels; Coronary Disease; Cyclooxygenase 2 Inhibitor

2013
A Review on the risk of myocardial infarction associated with the NSAID diclofenac.
    Cardiovascular & hematological disorders drug targets, 2010, Volume: 10, Issue:1

    Topics: Animals; Anti-Inflammatory Agents, Non-Steroidal; Cyclooxygenase 2 Inhibitors; Diclofenac; Humans; M

2010
Non-steroidal antiinflammatory drugs and the risk of acute myocardial infarction.
    Basic & clinical pharmacology & toxicology, 2006, Volume: 98, Issue:3

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Cohort Studies; Diclofenac; Dose-Resp

2006
Risk of myocardial infarction associated with selective COX-2 inhibitors: meta-analysis of randomised controlled trials.
    Pharmacoepidemiology and drug safety, 2007, Volume: 16, Issue:7

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Celecoxib; Cyclooxygenase 2 Inhibitors; Diclofenac; Dose-Re

2007

Trials

1 trial available for diclofenac and Myocardial Infarction

ArticleYear
A double-blind clinical trial to determine if an interaction exists between diclofenac sodium and the oral anticoagulant acenocoumarol (nicoumalone).
    The Journal of international medical research, 1975, Volume: 3, Issue:3

    Topics: Acenocoumarol; Angina Pectoris; Arthritis, Rheumatoid; Diclofenac; Double-Blind Method; Drug Interac

1975

Other Studies

46 other studies available for diclofenac and Myocardial Infarction

ArticleYear
Non-steroidal anti-inflammatory drugs and risk of myocardial infarction adjusting for use of proton pump-inhibitors in patients with no major risk factors: a nested case-control study in the UK Clinical Practice Research Datalink.
    European heart journal. Cardiovascular pharmacotherapy, 2022, 12-15, Volume: 9, Issue:1

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Diclofenac; Humans; Ibuprofen; Myocar

2022
Impact of Lifestyle and Socioeconomic Position on the Association Between Non-steroidal Anti-inflammatory Drug Use and Major Adverse Cardiovascular Events: A Case-Crossover Study.
    Drug safety, 2023, Volume: 46, Issue:6

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Cardiovascular Diseases; Cross-Over Studies; Diclofe

2023
Impact of hemoglobin A1c level on the association between non-steroidal anti-inflammatory drug use and cardiovascular events in patients with type 2 diabetes: A population-based cohort study.
    Pharmacoepidemiology and drug safety, 2023, Volume: 32, Issue:11

    Topics: Adult; Anti-Inflammatory Agents, Non-Steroidal; Cohort Studies; Diabetes Mellitus, Type 2; Diclofena

2023
Cardiovascular risks of continuing vs. initiating NSAIDs after first-time myocardial infarction or heart failure: a nationwide cohort study.
    European heart journal. Cardiovascular pharmacotherapy, 2023, 09-20, Volume: 9, Issue:6

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Cardiovascular Diseases; Cohort Studies; Diclofenac; Heart

2023
Association of tramadol with risk of myocardial infarction among patients with osteoarthritis.
    Osteoarthritis and cartilage, 2020, Volume: 28, Issue:2

    Topics: Aged; Aged, 80 and over; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Codeine; Diclo

2020
A Case of Acute Myocardial Infarction Induced by Selective Cyclooxygenase-2 Inhibitor.
    Chinese medical journal, 2017, May-05, Volume: 130, Issue:9

    Topics: Calcium Channel Blockers; Cyclooxygenase 2 Inhibitors; Diclofenac; Humans; Male; Middle Aged; Myocar

2017
Meloxicam and risk of myocardial infarction: a population-based nested case-control study.
    Rheumatology international, 2017, Volume: 37, Issue:12

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Chi-Square Distribution;

2017
Effect on Risk of Stroke and Acute Myocardial Infarction of Nonselective Nonsteroidal Anti-Inflammatory Drugs in Patients With Rheumatoid Arthritis.
    The American journal of cardiology, 2018, 05-15, Volume: 121, Issue:10

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Arthritis, Rheumatoid; Celecoxib;

2018
Risk of myocardial infarction with use of selected non-steroidal anti-inflammatory drugs in patients with spondyloarthritis and osteoarthritis.
    Annals of the rheumatic diseases, 2018, Volume: 77, Issue:8

    Topics: Adult; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Diclo

2018
Risk of renal dysfunction in an elderly patient with chronic heart failure.
    Medizinische Monatsschrift fur Pharmazeuten, 2016, Volume: 39, Issue:10

    Topics: Aged, 80 and over; Atrial Fibrillation; Carbazoles; Carvedilol; Diclofenac; Digoxin; Drug Interactio

2016
Risk of acute myocardial infarction during use of individual NSAIDs: A nested case-control study from the SOS project.
    PloS one, 2018, Volume: 13, Issue:11

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Diclofenac;

2018
Cardiac anaphylaxis: a case of acute ST-segment elevation myocardial infarction after IM epinephrine for anaphylactic shock.
    The American journal of emergency medicine, 2013, Volume: 31, Issue:7

    Topics: Anaphylaxis; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Epinephrine; Humans; Injections, I

2013
Cardiac anaphylaxis: searching for clarity.
    The American journal of emergency medicine, 2014, Volume: 32, Issue:1

    Topics: Anaphylaxis; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Epinephrine; Humans; Male; Myocard

2014
Reply to the letter to the editor.
    The American journal of emergency medicine, 2014, Volume: 32, Issue:1

    Topics: Anaphylaxis; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Epinephrine; Humans; Male; Myocard

2014
NSAIDs diclofenac, indomethacin, and meloxicam highly upregulate expression of ICAM-1 and COX-2 induced by X-irradiation in human endothelial cells.
    Biochemical and biophysical research communications, 2016, Oct-28, Volume: 479, Issue:4

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Contraindications; Cyclooxygenase 2; Diclofenac; E-Selectin

2016
Does the varied use of NSAIDs explain the differences in the risk of myocardial infarction?
    Journal of internal medicine, 2008, Volume: 264, Issue:5

    Topics: Adult; Age Factors; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Dr

2008
Very late drug-eluting stent thrombosis after nonsteroidal anti-inflammatory drug treatment despite dual antiplatelet therapy.
    The Canadian journal of cardiology, 2009, Volume: 25, Issue:4

    Topics: Adult; Angioplasty, Balloon, Coronary; Aspirin; Clopidogrel; Coronary Thrombosis; Cyclooxygenase Inh

2009
Acute ST-segment elevation myocardial infarction associated with diclofenac-induced anaphylaxis: case report.
    American journal of critical care : an official publication, American Association of Critical-Care Nurses, 2009, Volume: 18, Issue:4

    Topics: Anaphylaxis; Diclofenac; Humans; Male; Middle Aged; Myocardial Infarction

2009
A conditional sequential sampling procedure for drug safety surveillance.
    Statistics in medicine, 2009, Nov-10, Volume: 28, Issue:25

    Topics: Aged; Computer Simulation; Cyclooxygenase 2 Inhibitors; Diclofenac; Drug Evaluation; Drug-Related Si

2009
Cardiovascular risks of nonsteroidal antiinflammatory drugs in patients after hospitalization for serious coronary heart disease.
    Circulation. Cardiovascular quality and outcomes, 2009, Volume: 2, Issue:3

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Cardiovascular Diseases; Celecoxib; Cohort Studies; C

2009
Evaluation of NT-proBNP and high sensitivity C-reactive protein for predicting cardiovascular risk in patients with arthritis taking longterm nonsteroidal antiinflammatory drugs.
    The Journal of rheumatology, 2011, Volume: 38, Issue:6

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Arthritis, Rheumatoid; Biomarkers; C-Reactive Protein

2011
Duration of treatment with nonsteroidal anti-inflammatory drugs and impact on risk of death and recurrent myocardial infarction in patients with prior myocardial infarction: a nationwide cohort study.
    Circulation, 2011, May-24, Volume: 123, Issue:20

    Topics: Adrenergic beta-Antagonists; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Cohor

2011
Harmful effects of NSAIDs among patients with hypertension and coronary artery disease.
    The American journal of medicine, 2011, Volume: 124, Issue:7

    Topics: Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Antihypertensive Agents; Blood Pressure; Celec

2011
Risk of ST versus non-ST elevation myocardial infarction associated with non-steroidal anti-inflammatory drugs.
    Heart (British Cardiac Society), 2011, Volume: 97, Issue:22

    Topics: Adolescent; Adult; Aged; Algorithms; Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies;

2011
Letter by Naimer regarding article, "Duration of treatment with nonsteroidal anti-inflammatory drugs and impact on risk of death and recurrent myocardial infarction in patients with prior myocardial infarction: a nationwide cohort study".
    Circulation, 2011, Nov-22, Volume: 124, Issue:21

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Female; Humans; Male; Myocardial Infarction

2011
Letter by Alla et al regarding article, "Duration of treatment with nonsteroidal anti-inflammatory drugs and impact on risk of death and recurrent myocardial infarction in patients with prior myocardial infarction: a nationwide cohort study".
    Circulation, 2011, Nov-22, Volume: 124, Issue:21

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Female; Humans; Male; Myocardial Infarction

2011
Letter by Altman and Gonzalez regarding article, "Duration of treatment with nonsteroidal anti-inflammatory drugs and impact on risk of death and recurrent myocardial infarction in patients with prior myocardial infarction: a nationwide cohort study".
    Circulation, 2011, Nov-22, Volume: 124, Issue:21

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Female; Humans; Male; Myocardial Infarction

2011
Cardiovascular risks mount with certain anti-inflammatory drugs. Diclofenac is cited as the most dangerous anti-inflammatory drug.
    Heart advisor, 2010, Volume: 13, Issue:8

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Health Behavior; Humans; Myocardial Infarction;

2010
Cause-specific cardiovascular risk associated with nonsteroidal anti-inflammatory drugs among myocardial infarction patients--a nationwide study.
    PloS one, 2013, Volume: 8, Issue:1

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Denmark; Diclofenac; Female; Follow-Up Studies; Hospi

2013
[Acute myocardial infarction during a diclofenac-associated anaphylactic reaction].
    Medicina clinica, 2003, Sep-06, Volume: 121, Issue:7

    Topics: Anaphylaxis; Angioplasty, Balloon, Coronary; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Dr

2003
Nonsteroidal antiinflammatory drugs and the risk of myocardial infarction in the general population.
    Circulation, 2004, Jun-22, Volume: 109, Issue:24

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Cardiotonic Agents; Case-

2004
Patients exposed to rofecoxib and celecoxib have different odds of nonfatal myocardial infarction.
    Annals of internal medicine, 2005, Feb-01, Volume: 142, Issue:3

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Bias; Case-Control Studies; Celecoxib; Confo

2005
[Acute coronary syndrome after diclofenac induced coronary spasm].
    Zeitschrift fur Kardiologie, 2005, Volume: 94, Issue:4

    Topics: Acute Disease; Aged; Angina, Unstable; Anti-Inflammatory Agents, Non-Steroidal; Coronary Disease; Di

2005
[New epidemiologic data show: conventional NSAIDs need individual benefit-risk evaluation].
    MMW Fortschritte der Medizin, 2005, Nov-24, Volume: 147, Issue:47

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Cyclooxygenase 2 Inhibitors; Denmark;

2005
Risk of death or reinfarction associated with the use of selective cyclooxygenase-2 inhibitors and nonselective nonsteroidal antiinflammatory drugs after acute myocardial infarction.
    Circulation, 2006, Jun-27, Volume: 113, Issue:25

    Topics: Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Celecoxib; Confidence Intervals; C

2006
Simultaneous assessment of short-term gastrointestinal benefits and cardiovascular risks of selective cyclooxygenase 2 inhibitors and nonselective nonsteroidal antiinflammatory drugs: an instrumental variable analysis.
    Arthritis and rheumatism, 2006, Volume: 54, Issue:11

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Celecoxib; Cyclooxygenase 2 Inhibitors; Diclofenac; F

2006
Association between nonnaproxen NSAIDs, COX-2 inhibitors and hospitalization for acute myocardial infarction among the elderly: a retrospective cohort study.
    Pharmacoepidemiology and drug safety, 2007, Volume: 16, Issue:5

    Topics: Age Factors; Aged; Aged, 80 and over; Anti-Inflammatory Agents, Non-Steroidal; Celecoxib; Cohort Stu

2007
Cardiovascular safety of cyclo-oxygenase-2 inhibitors.
    Lancet (London, England), 2007, Feb-17, Volume: 369, Issue:9561

    Topics: Cyclooxygenase Inhibitors; Diclofenac; Etoricoxib; Humans; Myocardial Infarction; Pyridines; Randomi

2007
Diclofenac and acute myocardial infarction in patients with no major risk factors.
    British journal of clinical pharmacology, 2007, Volume: 64, Issue:5

    Topics: Acute Disease; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Female; Humans; Mal

2007
Treating osteoarthritis in the elderly: should recent data on NSAIDs change our way of practice?
    Southern medical journal, 2007, Volume: 100, Issue:8

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Cyclooxygenase 2 Inhibitors; Databases, Factual; Dicl

2007
NSAIDS-induced anaphylaxis precipitating acute coronary vasospasm.
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2008, Volume: 15, Issue:1

    Topics: Aged; Anaphylaxis; Anti-Inflammatory Agents, Non-Steroidal; Coronary Vasospasm; Diclofenac; Emergenc

2008
Cyclooxygenase-2 inhibitors and most traditional nonsteroidal anti-inflammatory drugs cause similar moderately increased risks of cardiovascular disease.
    Journal of cardiovascular pharmacology and therapeutics, 2008, Volume: 13, Issue:1

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Cardiovascular Diseases; Clinical Trials as Topic; Cyclooxy

2008
Antiaggregative therapy with acetylsalicylic acid and diclofenac in patients with acute myocardial infarction.
    Upsala journal of medical sciences, 1994, Volume: 99, Issue:2

    Topics: Adult; Aged; Aspirin; Diclofenac; Humans; Male; Middle Aged; Myocardial Infarction; Platelet Aggrega

1994
Xiphodynia masking acute myocardial infarction: a diagnostic cul-de-sac.
    The American journal of emergency medicine, 1998, Volume: 16, Issue:2

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Chest Pain; Creatine Kinase; Diagnosis, Differential; Diclo

1998
The risk of gastrointestinal bleed, myocardial infarction, and newly diagnosed hypertension in users of meloxicam, diclofenac, naproxen, and piroxicam.
    Pharmacotherapy, 2000, Volume: 20, Issue:7

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Case-Control Studies; Cyclooxygenase 2; Cyclooxygenase 2 In

2000
Circulating microparticles from patients with myocardial infarction cause endothelial dysfunction.
    Circulation, 2001, Nov-27, Volume: 104, Issue:22

    Topics: Adult; Animals; Aorta; Cell Membrane; Cell Membrane Structures; Cyclooxygenase Inhibitors; Diclofena

2001