Cardiovascular Risks of Nonsteroidal Anti-Inflammatory Drugs
The most common cardiovascular risks studied in the included literature were hemodynamic effects and myocardial infarction. The evidence in the included studies suggests that concerns of adverse hemodynamic effects may be overstated with short-term NSAID use. Myocardial infarction was shown to be a very serious, but rare, side effect associated with NSAID use. Practitioners should weigh this risk when using NSAIDs in patients with an increased risk of MI at baseline. Other included studies described risks of Kounis syndrome, QTc prolongation, and potential reversal of right ventricular dysfunction in patients using NSAIDs.
Authors
- Nathan T. Smith (ORCID: https://orcid.org/0000-0003-3470-7058)
- A. Bowes Elliott
- Leslie R. Siegel (ORCID: https://orcid.org/0000-0002-2697-6082)
- Sanny Juresic
Institutions
- Mayo Clinic (US)
- Pain Management Institute (US)
- University of Minnesota Rochester (US)
- Mayo Clinic in Arizona (US)
- ORCID (US)
- Mayo Clinic in Florida (US)
- Pain and Rehabilitation Medicine (US)
Publication Details
- Journal
- Clinical Journal of Pain
- Published
- 2025-11-13
- DOI
- https://doi.org/10.1097/ajp.0000000000001341
- Citations
- 1
- Primary Topic
- Inflammatory mediators and NSAID effects
- Type
- article
- Field-Weighted Citation Impact
- 1.39