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.

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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
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article

Cardiovascular Risks of Nonsteroidal Anti-Inflammatory Drugs

Nathan T. Smith, A. Bowes Elliott, Leslie R. Siegel, Sanny Juresic
1 citations
Clinical Journal of Pain
Inflammatory mediators and NSAID effects
1.39
article

Cardiovascular Risks of Nonsteroidal Anti-Inflammatory Drugs

Nathan T. Smith, A. Bowes Elliott, Leslie R. Siegel, Sanny Juresic
article en
1 citations

Abstract

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.

Clinical Journal of PainVol. 42(2)
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)
Openalex Percentile: Top 14%
Inflammatory mediators and NSAID effects
1.39
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