Evidence map›Paper›PMID 34285902›Full record

ReviewGlobal cardiology science & practice2021

Cardiovascular adverse effects of lopinavir/ritonavir and hydroxychloroquine in COVID-19 patients: Cases from a single pharmacovigilance centre.

Ioanna Istampoulouoglou, Barbara Zimmermanns, Tanja Grandinetti, Catia Marzolini, Annette Harings-Kaim, Sarah Koechlin-Lemke, Irene Scholz, Stefano Bassetti, Anne B Leuppi-Taegtmeyer

Abstract readReview
In one paragraph

Review in Global cardiology science & practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ioanna IstampoulouoglouDepartment of Clinical Pharmacology & Toxicology, University Hospital Basel, Switzerland.
Barbara ZimmermannsDepartment of Clinical Pharmacology & Toxicology, University Hospital Basel, Switzerland.
Tanja GrandinettiDepartment of Clinical Pharmacology & Toxicology, University Hospital Basel, Switzerland.
Catia MarzoliniDivision of Infectious Diseases & Hospital Hygiene, University Hospital Basel, Switzerland.
Annette Harings-KaimRegional Pharmacovigilance Centre Basel, University Hospital Basel, Switzerland.
Sarah Koechlin-LemkeDepartment of Clinical Pharmacology & Toxicology, University Hospital Basel, Switzerland.
Irene ScholzSwissmedic, Schweizerisches Heilmittelinstitut, Bern, Switzerland.
Stefano BassettiDivision of Internal Medicine, University Hospital Basel, Switzerland.
Anne B Leuppi-TaegtmeyerDepartment of Clinical Pharmacology & Toxicology, University Hospital Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this article we summarize the cardiovascular adverse events that were observed in three patients during their treatment for COVID-19 and discuss their association with lopinavir/ ritonavir (LPV/r) and hydroxychloroquine (HCQ). The cases were reported to our regional pharmacovigilance centre in April 2020. All three patients were above 75 years in age, male and multimorbid, and had been hospitalized for treatment of COVID-19. As part of their treatment, all of them received a very strictly monitored off-label therapy with LPV/r and HCQ, for which they had given their prior, written, informed consent. In one patient, erythromycin was also administered. All three patients developed a significant QTc time prolongation during or shortly after therapy with the above drugs. On account of this, the treatment had to be discontinued early in each case and QTc time recovered in all three patients.

Identifiers

PMID34285902
PMCPMC8272412

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.