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Correspondence
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Volume 352:2648-2650 June 23, 2005 Number 25
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Cardiovascular Risk Associated with Celecoxib

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 by Solomon, S. D.
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To the Editor: Solomon et al., for the Adenoma Prevention with Celecoxib (APC) Study Investigators (March 17 issue),1 reported an increase in cardiovascular events associated with the use of celecoxib, and two accompanying editorials2,3 supported the conclusion of a class effect for cyclooxygenase-2 (COX-2) inhibitors. Although abundant and concordant data from both randomized trials and observational studies show that the use of rofecoxib is associated with cardiovascular risk, the literature concerning the risk with the use of celecoxib is more heterogeneous. Numerous observational studies4,5,6,7,8 have failed to identify an increased risk with celecoxib. Moreover, among randomized trials of celecoxib with . . . [Full Text of this Article]


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