Trimetazidine Use and the Risk of Parkinsonism: A Nationwide Population-Based Study.


Journal

International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455

Informations de publication

Date de publication:
04 10 2020
Historique:
received: 07 09 2020
revised: 01 10 2020
accepted: 02 10 2020
entrez: 6 10 2020
pubmed: 7 10 2020
medline: 29 12 2020
Statut: epublish

Résumé

An association between trimetazidine (TMZ), an anti-anginal drug, and parkinsonism has been reported in a number of studies. However, evidence from studies with long-term follow-up and better validity is lacking. We investigated the risk of TMZ-associated parkinsonism, specifically the incidence rate, cumulative dose-response relationship, and combined effects with other parkinsonism-inducing medications. This propensity score-matched retrospective cohort study was conducted using 14-year health insurance claims data in South Korea. The risk of parkinsonism was evaluated using multivariate Cox proportional hazard regression analysis, adjusted for comorbidities and concurrent medications. A total of 9712 TMZ users and 29,116 matched non-TMZ users were included. TMZ users had a significantly higher incidence rate of parkinsonism than non-TMZ users (9.34 vs. 6.71 per 1000 person-years;

Identifiants

pubmed: 33020406
pii: ijerph17197256
doi: 10.3390/ijerph17197256
pmc: PMC7579582
pii:
doi:

Substances chimiques

Trimetazidine N9A0A0R9S8

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

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Auteurs

Seungyeon Kim (S)

College of Pharmacy & Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul 08826, Korea.

Yun Mi Yu (YM)

Department of Pharmacy and Yonsei Institute of Pharmaceutical Sciences, College of Pharmacy, Yonsei University, Incheon 21983, Korea.
Department of Pharmaceutical Medicine and Regulatory Sciences, Colleges of Medicine and Pharmacy, Yonsei University, Incheon 21983, Korea.

Jeongyoon Kwon (J)

College of Pharmacy & Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul 08826, Korea.

Kyeong Hye Jeong (KH)

College of Pharmacy, Chung-Ang University, Seoul 06974, Korea.

Jeong Sang Lee (JS)

Department of Thoracic & Cardiovascular Surgery, SNU-SMG Boramae Hospital, Seoul 07061, Korea.
Department of Thoracic & Cardiovascular Surgery, College of Medicine, Seoul National University, Seoul 07061, Korea.

Euni Lee (E)

College of Pharmacy & Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul 08826, Korea.

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Classifications MeSH