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Zanettini R, Antonini A, Gatto G, et al. Valvular heart disease and the use of dopamine agonists for Parkinson's disease. NEJM 2007; 356:39-46. (Pubitemid 46041752)
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Increased prevalence of tricuspid regurgitation in patients with prolactinomas chronically treated with cabergoline
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This paper is the first study that showed increased moderate tricuspid regurgitation in patients being treated with the dopamine agonist (cabergoline) for prolactinomas. It highlights that the risk of cardiac valve disease is not limited to dopamine agonist use in Parkinson's disease
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Colao A, Galderisi M, Sarno A, Pardo M, et al. Increased prevalence of tricuspid regurgitation in patients with prolactinomas chronically treated with cabergoline. JCEM 2008; 93:3777-3784. This paper is the first study that showed increased moderate tricuspid regurgitation in patients being treated with the dopamine agonist (cabergoline) for prolactinomas. It highlights that the risk of cardiac valve disease is not limited to dopamine agonist use in Parkinson's disease.
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A recent review that illustrates that the use of ergot-derived dopamine agonists (cabergoline and pergolide) in patients with Parkinson's disease is associated with increased risk of cardiac valve regurgitation, but not with the use of nonergot dopamine agonists. This observation may have important clinical significance, in supporting the use of nonergot dopamine agonist, to avoid the adverse effect of cardiac valve disease
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Steiger M, Jost W, Grandas F, Van Camp F. Risk of valvular heart disease associated with the use of dopamine agonists in Parkinson's disease: a systematic review. J Neural Transm 2009; 116:179-191. A recent review that illustrates that the use of ergot-derived dopamine agonists (cabergoline and pergolide) in patients with Parkinson's disease is associated with increased risk of cardiac valve regurgitation, but not with the use of nonergot dopamine agonists. This observation may have important clinical significance, in supporting the use of nonergot dopamine agonist, to avoid the adverse effect of cardiac valve disease.
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J Neural Transm
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Steiger, M.1
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3,4-Methylenedioxymethamphetamine (MDMA, 'Ecstasy') induces fenfluramine-like proliferation actions on human cardiac valvular interstitial cells in vitro
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Cabergoline and cardiac valve disease in prolactinoma patients: Additional studies during long-term treatment are required
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This review illustrates that although there have beenmany studies showing significant cardiac valve regurgitation in patients with Parkinson's disease on cabergoline (eight studies), only one of six studies in cabergoline-treated patients for prolactinomas reported significant moderate regurgitation. The authors emphasized that in prolactinoma patients requiring higher cumulative doses and longer duration of treatment, evaluation with echocardiograms should be considered
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Kars M, Pereira M, Bax JJ, Romijn JA. Cabergoline and cardiac valve disease in prolactinoma patients: additional studies during long-term treatment are required. Eur Endocrinol 2008; 159:363-367. This review illustrates that although there have beenmany studies showing significant cardiac valve regurgitation in patients with Parkinson's disease on cabergoline (eight studies), only one of six studies in cabergoline-treated patients for prolactinomas reported significant moderate regurgitation. The authors emphasized that in prolactinoma patients requiring higher cumulative doses and longer duration of treatment, evaluation with echocardiograms should be considered.
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Kars, M.1
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Treatment with low doses of cabergoline is not associated with increased prevalence of cardiac valve regurgitation in patients with hyperprolactinemia
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Bogazzi F, Buralli S, Manetti L, et al. Treatment with low doses of cabergoline is not associated with increased prevalence of cardiac valve regurgitation in patients with hyperprolactinemia. Int J Clin Pract 2008; 62:1864-1869.
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Kars M, Delgado V, Holman ER, et al. Aortic valve calcification and mild tricuspid regurgitation but no clinical heart disease after 8 years of dopamine agonist therapy for prolactinoma. JCEM 2008; 93:3348-3356.
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Kars, M.1
Delgado, V.2
Holman, E.R.3
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23
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54049134742
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Low dose cabergoline for hyperprolactinaemia is not associated with clinically significant valvular heart disease
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Wakil A, Rigby AS, Clark AL, et al. Low dose cabergoline for hyperprolactinaemia is not associated with clinically significant valvular heart disease. Eur J Endocr 2008; 159:R11-R14.
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Eur J Endocr
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Wakil, A.1
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24
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58149161395
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Valvular heart disease and the use of cabergoline for the treatment of prolactinoma
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The results of this study show that the commonly used doses of cabergoline (0.25-3 mg/week) to treat prolactinomas were not associated with significant valvulopathy
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Herring N, Szmigielski C, Becher H, et al. Valvular heart disease and the use of cabergoline for the treatment of prolactinoma. Clin Endocrin 2009; 70:104-108. The results of this study show that the commonly used doses of cabergoline (0.25-3 mg/week) to treat prolactinomas were not associated with significant valvulopathy.
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Clin Endocrin
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25
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Prospective study of high-dose cabergoline treatment in prolactinomas of 150 patients
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This study reports that of 150 patients on cabergoline, 84% of patients achieved normalization of prolactin at 3 mg/week, reaching 97.3% at doses of 9 mg/week, with complete normalization in the entire group at doses of 11 mg/week
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Ono M, Miki N, Kawamata T, et al. Prospective study of high-dose cabergoline treatment in prolactinomas of 150 patients. JCEM 2008; 93:4721-4727. This study reports that of 150 patients on cabergoline, 84% of patients achieved normalization of prolactin at 3 mg/week, reaching 97.3% at doses of 9 mg/week, with complete normalization in the entire group at doses of 11 mg/week.
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JCEM
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Ono, M.1
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26
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17944368742
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Resistance to cabergoline as compared with bromocriptine in hyperprolactinemia: Prevalence, clinical definition, and therapeutic strategy
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Di Sarno A, Landi ML, Cappabianca P, et al. Resistance to cabergoline as compared with bromocriptine in hyperprolactinemia: prevalence, clinical definition, and therapeutic strategy. JCEM 2001; 86:5256-5261. (Pubitemid 33070245)
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Faggiano, A.8
Lombardi, G.9
Colao, A.10
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27
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57349094819
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The cabergoline-resistant prolactinoma patient: New challenges
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This editorial reviews the literature on cardiac valvulopathy risk in cabergoline-treated patients and concludes that conventional doses (≤2 mg/week) are not likely to increase the risk of valvular disease
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Molitch ME. The cabergoline-resistant prolactinoma patient: new challenges. JCEM 2008; 93:4643-4645. This editorial reviews the literature on cardiac valvulopathy risk in cabergoline-treated patients and concludes that conventional doses (≤2 mg/week) are not likely to increase the risk of valvular disease.
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(2008)
JCEM
, vol.93
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Molitch, M.E.1
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