The Use of Colchicine in Cardiovascular Diseases: A Systematic Review

Am J Med. 2021 Jun;134(6):735-744.e1. doi: 10.1016/j.amjmed.2021.01.019. Epub 2021 Feb 17.

Abstract

The medicinal properties of colchicine have been recognized for centuries. Although previously used for gout and familial Mediterranean fever, its immune-modulating, anti-inflammatory, and antifibrotic effects are increasingly recognized as beneficial in the treatment of cardiovascular disorders. In this systematic review, we summarize the current evidence on colchicine's effectiveness in 1) pericarditis, 2) coronary artery disease, and 3) atrial fibrillation. We also discuss the safety, potential adverse effects, and common drug interactions that should be considered during use.

Keywords: Atrial fibrillation; Colchicine; Coronary artery disease; Pericarditis; Safety.

Publication types

  • Systematic Review

MeSH terms

  • Atrial Fibrillation / drug therapy
  • Cardiovascular Diseases / drug therapy*
  • Colchicine / adverse effects
  • Colchicine / pharmacology*
  • Humans
  • Pericardial Effusion / drug therapy
  • Pericarditis / drug therapy

Substances

  • Colchicine