The effect of sulodexide on the incidence of cardiovascular outcomes in patients with vascular disorders.
- Author:
Eugenio B. REYES
1
;
Paula Victoria Catherine Y. CHENG-BROMEO
1
,
2
;
Nigel Jeronimo C. SANTOS
1
Author Information
- Publication Type:Review Articles (Literature/ Systematic /Meta-analysis)
- Keywords: Microvascular Disease; Macrovascular Disease; Cardiovascular Outcomes
- MeSH: Human; Sulodexide; Glucuronyl Glucosamine Glycan Sulfate
- From: Philippine Journal of Cardiology 2025;53(1):87-97
- CountryPhilippines
-
Abstract:
BACKGROUND AND OBJECTIVES
Among patients with macrovascular and microvascular disease, we investigated the association between sulodexide and cardiovascular (CV) outcomes and adverse events.
METHODSWe conducted a meta-analysis of randomized control trials (RCTs) reporting CV outcomes and adverse events in patients with vascular disease receiving sulodexide for any indication versus control. The following outcomes were investigated: any CV event, myocardial infarction, CV death, bleeding events and gastrointestinal symptoms.
RESULTSTwelve studies with a total of 8,436 patients were included. Sulodexide resulted in a significant reduction in CV events (OR 0.51 [95% confidence interval 0.41-0.73]; pCONCLUSION
Sulodexide has a beneficial effect among patients with macrovascular disease in terms of reducing the risk for MI, overall CV mortality and CV events. Larger RCTs are needed to corroborate these findings.