Drug-induced arrhythmia: pharmacogenomic prescribing?

被引:56
作者
Behr, Elijah R. [1 ]
Roden, Dan [2 ,3 ,4 ]
机构
[1] St Georges Univ London, Cardiovasc Sci Res Ctr, London SW17 0RE, England
[2] Vanderbilt Univ, Dept Med, Sch Med, Nashville, TN 37232 USA
[3] Vanderbilt Univ, Dept Pharmacol, Sch Med, Nashville, TN 37232 USA
[4] Vanderbilt Univ, Off Personalized Med, Sch Med, Nashville, TN 37232 USA
关键词
Torsades de pointes; Serious adverse events; Anti-arrhythmic drugs; Pharmacogenomics; Drug-induced arrhythmia; Acquired long QT syndrome; LONG-QT-SYNDROME; TORSADES-DE-POINTES; SUDDEN CARDIAC DEATH; REPOLARIZATION RESERVE; INTERVAL DURATION; REGULATORY IMPLICATIONS; ANTIARRHYTHMIC DRUGS; GENETIC-VARIATIONS; POLICY CONFERENCE; NONCARDIAC DRUGS;
D O I
10.1093/eurheartj/ehs351
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Drug-induced Torsades de Pointes is a rare, unpredictable, and life-threatening serious adverse event. It can be caused by both cardiac and non-cardiac drugs and has become a major issue in novel drug development and for the regulatory authorities. This review describes the problem, predisposing factors, and the underlying genetic predisposition as it is understood currently. The future potential for pharmacogenomic-guided and personalized prescription to prevent drug-induced Torsades de Pointes is discussed. Database searches utilized reports from up to January 2012, case reports and articles from up to January 2012, and the British National Formulary edition at .
引用
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页码:89 / +
页数:9
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