Association of Azithromycin Use With Cardiovascular Mortality

J. Zaroff,T. Cheetham,N. Palmetto,L. Almers,C. Quesenberry,J. Schneider,N. Gatto,D. Corley

Published 2020 in JAMA Network Open

ABSTRACT

Key Points Question Is use of azithromycin in an outpaitent setting associated with an increased short-term risk of cardiovascular death and sudden cardiac death in a diverse, community-based population? Findings In this cohort study including 7 824 681 antibiotic exposures, after propensity score adjustment, an outpatient prescription for azithromycin was associated with a significantly increased risk of cardiovascular death within 5 days of exposure compared with amoxicillin, an antibiotic not associated with adverse cardiovascular events. Meaning These findings suggest that prescribers should be aware of the potential association between azithromycin and cardiovascular death.

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