Document Detail

Massive pulmonary thromboembolism demonstrated at necropsy in Japanese psychiatric patients treated with neuroleptics including atypical antipsychotics.
MedLine Citation:
PMID:  15329507     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There may be an increased risk of pulmonary thromboembolism (PTE) with antipsychotic drugs, so this association was investigated in autopsy cases of sudden unexpected death determined by the Department of Legal Medicine of a Japanese university hospital. METHODS AND RESULTS: Records of 1,125 forensic autopsies (808 males, 317 females) performed during the study period for investigation of the cause of sudden unexpected death were reviewed and a logistic regression analysis was performed to explore whether age, gender, body mass index (BMI), and antipsychotic drug use were associated with fatal PTE. Among all records, 34 (3.0%; 14 males, 20 females) indicated the use of antipsychotic drugs and 28 (2.5%; 9 males, 19 females) indicated PTE as the cause of death. Of the 28 subjects who died from PTE, 8 had taken antipsychotic drugs (29%) and all were female. Female gender and antipsychotic drug use accounted for a significantly higher risk of PTE death with an odds ratio of 4.22 (95% confidence interval (CI), 1.82-9.78; p<0.01) and 10.49 (95% CI, 3.95-27.85; p<0.01), respectively. CONCLUSIONS: Japanese women taking antipsychotic drugs may be at particular risk for PTE.
Satoko Hamanaka; Yoshito Kamijo; Tomonori Nagai; Katsuyoshi Kurihara; Katsutoshi Tanaka; Kazui Soma; Hitoshi Miyaoka
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  68     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-26     Completed Date:  2005-02-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  850-2     Citation Subset:  IM    
Department of Psychiatry, School of Medicine, Kitasato University, Sagamihara, Japan.
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MeSH Terms
Antidepressive Agents, Second-Generation / adverse effects*
Antipsychotic Agents / adverse effects*
Death, Sudden
Medical Records
Middle Aged
Psychotic Disorders / drug therapy*
Pulmonary Embolism / chemically induced*,  mortality
Reg. No./Substance:
0/Antidepressive Agents, Second-Generation; 0/Antipsychotic Agents

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