Assessment of cardiac valve dysfunction in patients receiving cabergoline treatment for hyperprolactinaemia

Cabergoline is a highly effective medical treatment for patients with hyperprolactinaemia. There is an increased risk of valvular heart disease in patients receiving cabergoline for Parkinson's disease. This study examined whether cabergoline treatment of hyperprolactinaemia is associated with...

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Veröffentlicht in:Clinical endocrinology (Oxford) 2010-09, Vol.73 (3), p.369-374
Hauptverfasser: TAN, Tricia, CABRITA, Ines Z, MARTIN, Niamh M, HENSMAN, Davina, GROGONO, Joanna, DHILLO, Waljit S, BAYNES, Kevin C, ELIAHOO, Joseph, MEERAN, Karim, ROBINSON, Stephen, NIHOYANNOPOULOS, Petros
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container_issue 3
container_start_page 369
container_title Clinical endocrinology (Oxford)
container_volume 73
creator TAN, Tricia
CABRITA, Ines Z
MARTIN, Niamh M
HENSMAN, Davina
GROGONO, Joanna
DHILLO, Waljit S
BAYNES, Kevin C
ELIAHOO, Joseph
MEERAN, Karim
ROBINSON, Stephen
NIHOYANNOPOULOS, Petros
description Cabergoline is a highly effective medical treatment for patients with hyperprolactinaemia. There is an increased risk of valvular heart disease in patients receiving cabergoline for Parkinson's disease. This study examined whether cabergoline treatment of hyperprolactinaemia is associated with a greater prevalence of valvulopathy. Cross-sectional, two-dimensional echocardiographic study performed by a single echocardiographer. Seventy-two patients (median age 36 years, 19 men) receiving cabergoline for hyperprolactinaemia, and 72 controls prospectively matched for age, sex and cardiovascular risk factors. Measurements Assessment of valvular mobility, regurgitation and morphology. Median cumulative dose exposure for cabergoline was 126 (58-258) mg, and patients had received cabergoline for 53 (26-96) months. The frequency of mild mitral regurgitation was identical (5/72, 7%) in patient and control groups. Mild aortic regurgitation was not significantly different between groups (4/72 [controls] vs 2/72 [patients], P = 0.681). There was only one case of tricuspid regurgitation, which was mild and observed in a cabergoline-treated patient. Nodular thickening of the right coronary cusp, noncoronary cusp or left coronary cusp of the aortic valve was observed at a similar frequency in both groups. There were no cases of extensive thickening of any valvular leaflet. Our data demonstrates that there is no association between cabergoline treatment for hyperprolactinaemia and valvulopathy. This study therefore supports continued use of low-dose cabergoline for patients with hyperprolactinaemia.
doi_str_mv 10.1111/j.1365-2265.2010.03827.x
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There is an increased risk of valvular heart disease in patients receiving cabergoline for Parkinson's disease. This study examined whether cabergoline treatment of hyperprolactinaemia is associated with a greater prevalence of valvulopathy. Cross-sectional, two-dimensional echocardiographic study performed by a single echocardiographer. Seventy-two patients (median age 36 years, 19 men) receiving cabergoline for hyperprolactinaemia, and 72 controls prospectively matched for age, sex and cardiovascular risk factors. Measurements Assessment of valvular mobility, regurgitation and morphology. Median cumulative dose exposure for cabergoline was 126 (58-258) mg, and patients had received cabergoline for 53 (26-96) months. The frequency of mild mitral regurgitation was identical (5/72, 7%) in patient and control groups. Mild aortic regurgitation was not significantly different between groups (4/72 [controls] vs 2/72 [patients], P = 0.681). There was only one case of tricuspid regurgitation, which was mild and observed in a cabergoline-treated patient. Nodular thickening of the right coronary cusp, noncoronary cusp or left coronary cusp of the aortic valve was observed at a similar frequency in both groups. There were no cases of extensive thickening of any valvular leaflet. Our data demonstrates that there is no association between cabergoline treatment for hyperprolactinaemia and valvulopathy. 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There is an increased risk of valvular heart disease in patients receiving cabergoline for Parkinson's disease. This study examined whether cabergoline treatment of hyperprolactinaemia is associated with a greater prevalence of valvulopathy. Cross-sectional, two-dimensional echocardiographic study performed by a single echocardiographer. Seventy-two patients (median age 36 years, 19 men) receiving cabergoline for hyperprolactinaemia, and 72 controls prospectively matched for age, sex and cardiovascular risk factors. Measurements Assessment of valvular mobility, regurgitation and morphology. Median cumulative dose exposure for cabergoline was 126 (58-258) mg, and patients had received cabergoline for 53 (26-96) months. The frequency of mild mitral regurgitation was identical (5/72, 7%) in patient and control groups. Mild aortic regurgitation was not significantly different between groups (4/72 [controls] vs 2/72 [patients], P = 0.681). There was only one case of tricuspid regurgitation, which was mild and observed in a cabergoline-treated patient. Nodular thickening of the right coronary cusp, noncoronary cusp or left coronary cusp of the aortic valve was observed at a similar frequency in both groups. There were no cases of extensive thickening of any valvular leaflet. Our data demonstrates that there is no association between cabergoline treatment for hyperprolactinaemia and valvulopathy. This study therefore supports continued use of low-dose cabergoline for patients with hyperprolactinaemia.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>20550538</pmid><doi>10.1111/j.1365-2265.2010.03827.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Antiparkinson Agents - adverse effects
Antiparkinson Agents - therapeutic use
Biological and medical sciences
Blood Pressure
Cardiology. Vascular system
Cross-Sectional Studies
Dose-Response Relationship, Drug
Echocardiography
Endocrinopathies
Ergolines - adverse effects
Ergolines - therapeutic use
Female
Fundamental and applied biological sciences. Psychology
Heart
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Heart Valve Diseases - chemically induced
Heart Valve Diseases - diagnosis
Heart Valve Diseases - physiopathology
Heart Valves - diagnostic imaging
Heart Valves - drug effects
Heart Valves - physiopathology
Humans
Hyperprolactinemia - drug therapy
Hypothalamus. Hypophysis. Epiphysis (diseases)
Male
Medical sciences
Middle Aged
Non tumoral diseases. Target tissue resistance. Benign neoplasms
Prospective Studies
Risk Assessment - methods
Ventricular Function, Left
Ventricular Function, Right
Vertebrates: endocrinology
title Assessment of cardiac valve dysfunction in patients receiving cabergoline treatment for hyperprolactinaemia
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