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The effect of antihistamines on the cardiovascular system: a systematic review

dc.contributor.authorSoares, Mariana
dc.contributor.authorOliveira, Ana Isabel
dc.contributor.authorOliveira, Rita F.
dc.contributor.authorOliveira, Ana Isabel
dc.contributor.authorFerraz Oliveira, Rita
dc.date.accessioned2026-09-16T09:30:31Z
dc.date.available2026-09-16T09:30:31Z
dc.date.issued2025-10
dc.description.abstractAntihistamines are widely used for allergic diseases but have been associated with adverse cardiovascular effects. Once considered rare, these effects have gained clinical relevance due to population ageing, polypharmacy, and comorbidities [1]. Despite case reports and narrative reviews, recent systematic reviews are lacking. To critically assess current evidence on the cardiovascular effects of antihistamines. A systematic literature review was conducted using PubMed and ScienceDirect, following PRISMA guidelines. Studies published from January 2013 to May 2025 were considered. Of 99 records identified, 18 duplicates were removed, 75 were excluded by title and abstract, and one after full-text review. Five studies were included. Designs varied (case reports, cohort studies, clinical trials, experimental research), and methodological quality was assessed using Joanna Briggs Institute checklists, selected for their adaptability to multiple study types. Both adult and paediatric populations were included. The findings suggest a possible link between first-generation H1 antihistamines and increased risk of arrhythmias and ischaemic cardiac events, particularly in children. Some studies also noted potential therapeutic benefits in specific contexts, such as long COVID. Overall, evidence remains limited by methodological heterogeneity and small sample sizes. The results support caution in prescribing antihistamines, especially in vulnerable populations, and reinforce the need for further robust studies to better define their cardiovascular safety.eng
dc.identifier.citationSoares, M., Oliveira, A. I., & Oliveira, R. F. (2025). The effect of antihistamines on the cardiovascular system: A systematic review. 13th APLF Annual Conference, TherapeuTic advances in drug safety 16(S1), 42–43. https://journals.sagepub.com/doi/epub/10.1177/20420986251379201
dc.identifier.doi10.1177/20420986251379201
dc.identifier.eissn2042-0994
dc.identifier.issn2042-0986
dc.identifier.urihttp://hdl.handle.net/10400.22/32712
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSAGE Publications
dc.relationUID/50006
dc.relation.hasversionhttps://journals.sagepub.com/doi/10.1177/20420986251379201
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectAntihistamines
dc.subjectCardiovascular system
dc.subjectAdverse reactions
dc.titleThe effect of antihistamines on the cardiovascular system: a systematic revieweng
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferenceDate2025-10
oaire.citation.conferencePlaceAveiro
oaire.citation.endPage43
oaire.citation.issueS1
oaire.citation.startPage42
oaire.citation.title13th APLF Annual Conference - TherapeuTic advances in drug safety
oaire.citation.volume16
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameOliveira
person.familyNameFerraz Oliveira
person.givenNameAna Isabel
person.givenNameRita
person.identifier.ciencia-id9212-F501-E9EF
person.identifier.ciencia-idFD1F-2E0C-1254
person.identifier.orcid0000-0003-4420-6476
person.identifier.orcid0000-0003-3933-5740
relation.isAuthorOfPublication4b3fe293-2740-469f-97d3-99d0b107b5e0
relation.isAuthorOfPublication6c1b7213-1303-47eb-bfa7-ecbef6a9b8d9
relation.isAuthorOfPublication.latestForDiscovery4b3fe293-2740-469f-97d3-99d0b107b5e0

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