Angiotensin-converting enzyme inhibitors, calcium channel blockers, and breast cancer. Meier, C. R., Derby, L. E., Jick, S. S., & Jick, H. Archives of Internal Medicine, 160(3):349--353, February, 2000.
abstract   bibtex   
BACKGROUND: The use of angiotensin-converting enzyme (ACE) inhibitors has been linked to a decreased risk of developing cancer, and longer-term use of calcium channel blockers (CCBs) has been associated with an increased risk of developing cancer in general and breast cancer in particular. METHODS: Using data from the General Practice Research Database, we conducted a large case-control analysis. Previous exposure to ACE inhibitors, CCBs, and beta-blockers was compared between 3706 postmenopausal women who were diagnosed with incident breast cancer between 1992 and 1997 and 14155 matched-control women. RESULTS: Compared with nonusers of antihypertensive drugs, women who used ACE inhibitors (odds ratio [OR], 1.0; 95% confidence interval [CI], 0.7-1.5), CCBs (OR, 0.9; 95% CI, 0.7-1.2), or beta-blockers (OR, 1.0; 95% CI, 0.8-1.2) for 5 or more years were not at an increased or decreased risk of developing breast cancer (adjusted for smoking and body mass index [calculated as weight in kilograms divided by the square of height in meters]). The risk of breast cancer did not differ between users of different ACE inhibitors or different CCBs (dihydropyridines, diltiazem hydrochloride, and verapamil hydrochloride) or between users of short-acting (OR, 1.0; 95% CI, 0.7-1.4) or sustained-release (OR, 1.0; 95% CI, 0.8-1.3) nifedipine preparations. CONCLUSION: The findings of this large case-control analysis do not support the hypothesis that longer-term use of ACE inhibitors or CCBs affects the risk of developing breast cancer.
@article{meier_angiotensin-converting_2000,
	title = {Angiotensin-converting enzyme inhibitors, calcium channel blockers, and breast cancer},
	volume = {160},
	issn = {0003-9926},
	abstract = {BACKGROUND: The use of angiotensin-converting enzyme (ACE) inhibitors has been linked to a decreased risk of developing cancer, and longer-term use of calcium channel blockers (CCBs) has been associated with an increased risk of developing cancer in general and breast cancer in particular.
METHODS: Using data from the General Practice Research Database, we conducted a large case-control analysis. Previous exposure to ACE inhibitors, CCBs, and beta-blockers was compared between 3706 postmenopausal women who were diagnosed with incident breast cancer between 1992 and 1997 and 14155 matched-control women.
RESULTS: Compared with nonusers of antihypertensive drugs, women who used ACE inhibitors (odds ratio [OR], 1.0; 95\% confidence interval [CI], 0.7-1.5), CCBs (OR, 0.9; 95\% CI, 0.7-1.2), or beta-blockers (OR, 1.0; 95\% CI, 0.8-1.2) for 5 or more years were not at an increased or decreased risk of developing breast cancer (adjusted for smoking and body mass index [calculated as weight in kilograms divided by the square of height in meters]). The risk of breast cancer did not differ between users of different ACE inhibitors or different CCBs (dihydropyridines, diltiazem hydrochloride, and verapamil hydrochloride) or between users of short-acting (OR, 1.0; 95\% CI, 0.7-1.4) or sustained-release (OR, 1.0; 95\% CI, 0.8-1.3) nifedipine preparations.
CONCLUSION: The findings of this large case-control analysis do not support the hypothesis that longer-term use of ACE inhibitors or CCBs affects the risk of developing breast cancer.},
	language = {eng},
	number = {3},
	journal = {Archives of Internal Medicine},
	author = {Meier, C. R. and Derby, L. E. and Jick, S. S. and Jick, H.},
	month = feb,
	year = {2000},
	pmid = {10668837},
	keywords = {Adrenergic beta-Antagonists, Aged, Angiotensin-Converting Enzyme Inhibitors, Breast Neoplasms, Calcium Channel Blockers, Drug Therapy, Combination, Estrogen Replacement Therapy, Female, Humans, Middle Aged, Odds Ratio, Retrospective Studies, Risk Factors, United States, incidence},
	pages = {349--353}
}

Downloads: 0