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Review

Management of Systemic Cardiotoxicity Associated with Antidepressant Use in Patients with Depressive Disorders: A Systematic Review

by
Omar Anwar Saleh Al Nakhebi
1,*,
Raluka Albu-Kalinovic
1,
Adela Bosun
1,
Oana Neda-Stepan
1,
Marius Gliga
1,
Cătălina-Angela Crișan
2,
Ileana Marinescu
3 and
Virgil-Radu Enătescu
4
1
Doctoral School, University of Medicine and Pharmacy Victor Babes Timisoara, 300041 Timisoara, Romania
2
Department of Neurosciences, Discipline of Psychiatry and Pediatric Psychiatry, Iuliu Hatieganu University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania
3
Discipline of Psychiatry, Faculty of Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
4
Discipline of Psychiatry, Department of Neurosciences, University of Medicine and Pharmacy Victor Babes Timisoara, 300041 Timisoara, Romania
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(11), 3696; https://doi.org/10.3390/jcm14113696
Submission received: 13 April 2025 / Revised: 14 May 2025 / Accepted: 23 May 2025 / Published: 25 May 2025
(This article belongs to the Section Pharmacology)

Abstract

Background: Depression is one of the leading causes of disability worldwide, with a significant impact on individuals’ quality of life. The use of antidepressants is fundamental in the treatment of this condition; however, it is essential to recognize that the use of these drugs can be associated with adverse effects, including cardiotoxicity. Methods: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a literature search was conducted of the PubMed/Medline, Scopus, and Cochrane databases. Twenty studies were included in the final quantitative analysis. The Joanna Briggs Institute critical appraisal tool was used to assess the risk of bias. Results: It is possible to highlight a correlation between intake of antidepressants and development of cardiotoxicity. Analysis of the selected studies allows for an understanding of the importance of a multidisciplinary approach for the protection of these patients. Conclusions: Management of antidepressant-induced cardiotoxicity requires a thorough understanding of the pathophysiological mechanisms involved and a critical evaluation of the various therapeutic strategies available to promote clinical practice.
Keywords: cardiotoxicity; antidepressive agents cardiotoxicity; antidepressive agents

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MDPI and ACS Style

Al Nakhebi, O.A.S.; Albu-Kalinovic, R.; Bosun, A.; Neda-Stepan, O.; Gliga, M.; Crișan, C.-A.; Marinescu, I.; Enătescu, V.-R. Management of Systemic Cardiotoxicity Associated with Antidepressant Use in Patients with Depressive Disorders: A Systematic Review. J. Clin. Med. 2025, 14, 3696. https://doi.org/10.3390/jcm14113696

AMA Style

Al Nakhebi OAS, Albu-Kalinovic R, Bosun A, Neda-Stepan O, Gliga M, Crișan C-A, Marinescu I, Enătescu V-R. Management of Systemic Cardiotoxicity Associated with Antidepressant Use in Patients with Depressive Disorders: A Systematic Review. Journal of Clinical Medicine. 2025; 14(11):3696. https://doi.org/10.3390/jcm14113696

Chicago/Turabian Style

Al Nakhebi, Omar Anwar Saleh, Raluka Albu-Kalinovic, Adela Bosun, Oana Neda-Stepan, Marius Gliga, Cătălina-Angela Crișan, Ileana Marinescu, and Virgil-Radu Enătescu. 2025. "Management of Systemic Cardiotoxicity Associated with Antidepressant Use in Patients with Depressive Disorders: A Systematic Review" Journal of Clinical Medicine 14, no. 11: 3696. https://doi.org/10.3390/jcm14113696

APA Style

Al Nakhebi, O. A. S., Albu-Kalinovic, R., Bosun, A., Neda-Stepan, O., Gliga, M., Crișan, C.-A., Marinescu, I., & Enătescu, V.-R. (2025). Management of Systemic Cardiotoxicity Associated with Antidepressant Use in Patients with Depressive Disorders: A Systematic Review. Journal of Clinical Medicine, 14(11), 3696. https://doi.org/10.3390/jcm14113696

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