J Am Heart Assoc August 2021 PMID 34369166

Colchicine in Patients With Coronary Artery Disease: A Systematic Review and Meta-Analysis of Randomized Trials.

Thomas Kofler, Reto Kurmann, Dirk Lehnick, Giacomo Maria Cioffi, Sujay Chandran, Adrian Attinger-Toller, Stefan Toggweiler, Richard Kobza, Federico Moccetti, Florim Cuculi, Sanjit S Jolly, Matthias Bossard

Mentions

32
Peak: 23 in Aug 2021
across 4 sources since Jun 2020

Extended reach

161,317
potential audience

Total likes

69

Video views

245

Mentions per month

Jun 2020 – Sep 2025

Where it's discussed

  • X / Twitter28 posts
  • Facebook2 posts
  • Bluesky1 posts
  • YouTube1 videos

AI synopsis

What people are saying

Overall, the discussions reveal a cautious optimism about colchicine’s role in managing coronary artery disease, with posts citing the significant reduction in ischemic events and side effects, as well as noting its potential as an auxiliary treatment. The language, including terms like 'promising' and 'interesting', demonstrates both curiosity and recognition of the research's importance, yet reflects an awareness of its limitations in affecting mortality and side effects.

AgreementModerate agreement

Most discussions seem to acknowledge the findings, especially the benefits of colchicine in reducing myocardial infarction and stroke risks, indicating general support or acceptance of the results.

InterestHigh interest

The posts exhibit high curiosity, with many emphasizing the potential of colchicine as a promising treatment, as shown by phrases like 'interesting', 'promising', and calls for further discussion about its clinical use.

EngagementModerate engagement

Many discussions reference specific data points and clinical implications, such as odds ratios and side effects, reflecting a moderate level of detailed engagement.

ImpactModerate impact

While some posts highlight the potential shift in treatment strategies, the mention that colchicine doesn't affect mortality and its side effects suggests the perceived real-world impact might be moderate, not transformative.

Abstract in brief

  • This systematic review and meta-analysis examined whether colchicine, an anti-inflammatory drug, is effective and safe for patients with coronary artery disease (CAD), finding that it significantly reduces the risk of myocardial infarction and stroke but does not impact overall or cardiovascular mortality.
  • The analysis included 13 randomized trials with over 13,000 patients, showing that colchicine lowers the odds of heart attacks (OR 0.64) and strokes (OR 0.50), but increases the likelihood of gastrointestinal side effects, and no clear evidence suggests it affects mortality rates.
  • Based on trial sequential analyses, the strongest evidence supports colchicine's benefit in reducing myocardial infarction risk, though further research is needed for its long-term safety and effects on mortality.

Top posts

Most liked on X and Bluesky
Dr. John Cush
@RheumNow · X

Metanalysis of Colchicine in oronary artery disease (CAD) (13RCTs, n=13125), colchicine signif. reduces the risk of MI (OR 0.64) & CVA/TIA (OR 0.50), but has a higher rate of GI upset with no influence on all‐cause mortality (OR 0.96) https://t.co/CRDUFsc6lG

Aug 16, 2021 · 17 likes · 5 shares · 24,752 followers View post →
JAHA
@JAHA_AHA · X

#Colchicine in CAD? New meta‐analysis with >13K pts indicates reduction in ischemic events (MI, stroke & repeat revasc), but no change in mortality. https://t.co/rjCWSc8DFp @MatthiasBossard @KantonsspitalLU a @PHRIresearch @SanjitSJolly #AHAJournals https://t.co/OAydSpEaGc

Aug 19, 2021 · 15 likes · 7 shares · 31,381 followers View post →
Matthias Bossard
@MatthiasBossard · X

#Colchicine in #CAD?! Read our latest SR&MA focusing on this interesting, ancient drug as an auxiliary treatment for acute and chronic CAD patients. Should this become standard of care? We're interested to read about your thoughts on this! https://t.co/39tiQHlqOq

Aug 10, 2021 · 15 likes · 4 shares · 448 followers View post →
Giacomo Maria Cioffi
@gmcioffi · X

Colchicine seems to reduce the risk for ischemic events and for repeat revascularization procedures, whilst increasing risk for gastrointestinal side effects and therapy withdrawal. In our recent review we evaluated its utility. https://t.co/et4BVJax7A https://t.co/roTP6iKHbs

Aug 9, 2021 · 7 likes · 1 share · 1,174 followers View post →
宇津 貴史 /Utsu, Takashi
@Office_j · X

【CAD例へのコルヒチンで死亡は減少せず?メタ解析/ JAHA】 RCT 13報 [13125例] 解析:CAD例へのコルヒチンで、プラセボに比べ、MI ORは0.64 [95%CI 0,46-0.90]、虚血性脳血管障害も0,50 [0.31-0.81] なれど、CV死亡は0.82 [0,55-1.22]、総死亡も0.96 [0.65-1.41]。 https://t.co/tpDk1UFOAY

Aug 8, 2021 · 3 likes · 4,912 followers View post →
Leonardo Soto Muñoz
@LeonardoSotoMu · X

@SABOURETCardio https://t.co/KyBEbsoK8u

Dec 5, 2021 · 2 likes · 8,533 followers View post →

All mentions

Nixa Sedes, MD
@nixassedes.bsky.social · Bluesky

Efficacy and safety of colchicine in patients with coronary artery disease: An updated meta-analysis of randomized controlled trials

Sep 14, 2025 View post →
Leonardo Soto Muñoz
@LeonardoSotoMu · X

En pacientes con enfermedad arterial coronaria establecida, la colchicina permitie reducir el riesgo de IM y ACV, con una tasa mayor dereacciones adversas GI. NO inherencia sobre mortalidad. https://t.co/KyBEbsoK8u

Dec 7, 2021 · 8,533 followers View post →
Leonardo Soto Muñoz
@LeonardoSotoMu · X

@SABOURETCardio https://t.co/KyBEbsoK8u

Dec 5, 2021 · 2 likes · 8,533 followers View post →
McMaster University Department of Medicine
@MacDeptMed · X

RECENT PUBLICATION: Colchicine in Patients With #CoronaryArteryDisease: A Systematic Review and Meta‐Analysis of Randomized Trials. Our own @SanjitSJolly among authors. https://t.co/LoDU90wEyL @McMasterU @HHS_staff #MedEd #BrighterWorld https://t.co/DtX69uqYoL

Oct 21, 2021 · 2 likes · 4,147 followers View post →
Florin-Dan
@florindanpopesq · X

➡️Efficacy and safety of #colchicine in patients with coronary artery disease: a systematic review and meta-analysis of randomized controlled trials [Bytyçi I et al. Br J Clin Pharmacol. 2021] https://t.co/Ib0bMzyQB3

Aug 25, 2021 · 4,078 followers View post →
fausto heredia z.
@drfherediaz · X

RT @doctorheart00: Colchicine en Pericarditis, Enf Coronaria ek inflamación vascular. Produce además Enf U/P. https://t.co/oDjwLoDRy0

Aug 20, 2021 · 2 shares · 4,360 followers View post →
Fernando Aguirre P
@doctorheart00 · X

Colchicine en Pericarditis, Enf Coronaria ek inflamación vascular. Produce además Enf U/P. https://t.co/oDjwLoDRy0

Aug 20, 2021 · 2 likes · 2 shares · 2,324 followers View post →
Gregorio Tersalvi
@GTersalvi · X

RT @JAHA_AHA: #Colchicine in CAD? New meta‐analysis with >13K pts indicates reduction in ischemic events (MI, stroke & repeat revasc), but…

Aug 19, 2021 · 7 shares · 286 followers View post →
SystematicReviewBot
@EvidenceRobot · X

RT @JAHA_AHA: #Colchicine in CAD? New meta‐analysis with >13K pts indicates reduction in ischemic events (MI, stroke & repeat revasc), but…

Aug 19, 2021 · 7 shares · 6,710 followers View post →
Matthias Bossard
@MatthiasBossard · X

RT @JAHA_AHA: #Colchicine in CAD? New meta‐analysis with >13K pts indicates reduction in ischemic events (MI, stroke & repeat revasc), but…

Aug 19, 2021 · 7 shares · 448 followers View post →
СГАМ
@CGAM2016 · X

RT @JAHA_AHA: #Colchicine in CAD? New meta‐analysis with >13K pts indicates reduction in ischemic events (MI, stroke & repeat revasc), but…

Aug 19, 2021 · 7 shares · 235 followers View post →
Michael Spartalis
@mspartalis5 · X

RT @JAHA_AHA: #Colchicine in CAD? New meta‐analysis with >13K pts indicates reduction in ischemic events (MI, stroke & repeat revasc), but…

Aug 19, 2021 · 7 shares · 10,362 followers View post →
Cardiovascular Research Unit - Sheffield
@CardioSheffield · X

RT @JAHA_AHA: #Colchicine in CAD? New meta‐analysis with >13K pts indicates reduction in ischemic events (MI, stroke & repeat revasc), but…

Aug 19, 2021 · 7 shares · 105 followers View post →
JAHA
@JAHA_AHA · X

#Colchicine in CAD? New meta‐analysis with >13K pts indicates reduction in ischemic events (MI, stroke & repeat revasc), but no change in mortality. https://t.co/rjCWSc8DFp @MatthiasBossard @KantonsspitalLU a @PHRIresearch @SanjitSJolly #AHAJournals https://t.co/OAydSpEaGc

Aug 19, 2021 · 15 likes · 7 shares · 31,381 followers View post →
Dr. John Cush
@RheumNow · X

Metanalysis of Colchicine in oronary artery disease (CAD) (13RCTs, n=13125), colchicine signif. reduces the risk of MI (OR 0.64) & CVA/TIA (OR 0.50), but has a higher rate of GI upset with no influence on all‐cause mortality (OR 0.96) https://t.co/CRDUFsc6lG

Aug 16, 2021 · 17 likes · 5 shares · 24,752 followers View post →
Hospital Medicine Virtual Journal Club
@HMVJC · X

Colchicine in Patients With Coronary Artery Disease: A Systematic Review and Meta-Analysis of Randomized Trials: J Am Heart Assoc. 2021 Aug 7:e021198. doi: 10.1161/JAHA.121.021198. Online ahead of print.ABSTRACTBa... https://t.co/y9Mk2dp0g7

Aug 13, 2021 · 631 followers View post →
Thomas Kofler
@ThomasKofler4 · X

#Colchicine a promising supplementary drug for secondary prevention of ischemic events, particularly new MI and stroke/ TIA, among patients with acute and chronic #CAD. Read our new Meta-Analysis https://t.co/dYXxlDOOY6

Aug 12, 2021 · 2 likes · 27 followers View post →
Thomas Kofler
@ThomasKofler4 · X

RT @MatthiasBossard: #Colchicine in #CAD?! Read our latest SR&MA focusing on this interesting, ancient drug as an auxiliary treatment for a…

Aug 12, 2021 · 4 shares · 27 followers View post →
Dataemia
@Dataemia · X

Colchicine in Patients With Coronary Artery Disease: A Systematic Review and Meta-Analysis of Randomized Trials - https://t.co/TluHVObNe8

Aug 11, 2021 · 967 followers View post →
MasMaz
@MasMazCom · X

Colchicine in Patients With Coronary Artery Disease: A Systematic Review and Meta-Analysis of Randomized Trials - https://t.co/I1Tw7Gtz3K

Aug 11, 2021 · 169 followers View post →
Gregorio Tersalvi
@GTersalvi · X

RT @MatthiasBossard: #Colchicine in #CAD?! Read our latest SR&MA focusing on this interesting, ancient drug as an auxiliary treatment for a…

Aug 10, 2021 · 4 shares · 286 followers View post →
Pablo Lamelas
@lamelaspablo · X

RT @MatthiasBossard: #Colchicine in #CAD?! Read our latest SR&MA focusing on this interesting, ancient drug as an auxiliary treatment for a…

Aug 10, 2021 · 4 shares · 8,784 followers View post →
Matthias Bossard
@MatthiasBossard · X

#Colchicine in #CAD?! Read our latest SR&MA focusing on this interesting, ancient drug as an auxiliary treatment for acute and chronic CAD patients. Should this become standard of care? We're interested to read about your thoughts on this! https://t.co/39tiQHlqOq

Aug 10, 2021 · 15 likes · 4 shares · 448 followers View post →
Dr. Euclides Cavalcanti
@Links_Medicus · X

M-A: Colchicine in patients with coronary artery disease – “colchicine reduces the risk of myocardial infarction and stroke, but has a higher rate of gastrointestinal upset with no influence on all‐cause mortality”. – via @JAHA_AHA https://t.co/IZI1dou2TQ

Aug 9, 2021 · 1 like · 29,414 followers View post →
Gregorio Tersalvi
@GTersalvi · X

RT @gmcioffi: Colchicine seems to reduce the risk for ischemic events and for repeat revascularization procedures, whilst increasing risk f…

Aug 9, 2021 · 1 share · 286 followers View post →
Giacomo Maria Cioffi
@gmcioffi · X

Colchicine seems to reduce the risk for ischemic events and for repeat revascularization procedures, whilst increasing risk for gastrointestinal side effects and therapy withdrawal. In our recent review we evaluated its utility. https://t.co/et4BVJax7A https://t.co/roTP6iKHbs

Aug 9, 2021 · 7 likes · 1 share · 1,174 followers View post →
宇津 貴史 /Utsu, Takashi
@Office_j · X

【CAD例へのコルヒチンで死亡は減少せず?メタ解析/ JAHA】 RCT 13報 [13125例] 解析:CAD例へのコルヒチンで、プラセボに比べ、MI ORは0.64 [95%CI 0,46-0.90]、虚血性脳血管障害も0,50 [0.31-0.81] なれど、CV死亡は0.82 [0,55-1.22]、総死亡も0.96 [0.65-1.41]。 https://t.co/tpDk1UFOAY

Aug 8, 2021 · 3 likes · 4,912 followers View post →
SystematicReviewBot
@EvidenceRobot · X

RT @indoximity: Safety and efficacy of colchicine in patients with coronary artery disease: A systematic review and meta-analysis https://t…

Jun 6, 2020 · 1 share · 6,710 followers View post →
INDoximity
@indoximity · X

Safety and efficacy of colchicine in patients with coronary artery disease: A systematic review and meta-analysis https://t.co/11k3iPvIAj #Cardiologists

Jun 6, 2020 · 1 share · 828 followers View post →