Is Colchicine a New Game-Changer in Patients With Acute Coronary Syndrome?

Cureus. 2022 Mar 5;14(3):e22874. doi: 10.7759/cureus.22874. eCollection 2022 Mar.

Abstract

Colchicine, an anti-inflammatory drug, was declared as a potently cheap and effective drug in treating atherosclerosis. This report is a detailed understanding and an in-depth interpretation of the colchicine cardiovascular outcomes trial (COLCOT) that has taken place in recent years. It is a secondary quantitative study that has reviewed studies discussing the role of colchicine in myocardial infarction, inflammation, ST-elevation myocardial infarction, and in general, acute coronary syndrome (ACS). Different trials statistically proved colchicine's role in ACS by lowering the levels of high c-reactive protein, decreasing low attenuation plaque volume, and stabilizing plaque. Hence, in other words, it has been revealed that this drug has potential in the management of ACS. Colchicine reported promising results in reducing the risk of recurrent myocardial infarction, stroke, and sudden cardiac arrest, playing a massive role in lowering inflammation and the mortality caused by cardiovascular diseases.

Keywords: acute coronary syndrome; cardiovascular diseases; colchicine; myocardial infarction; vascular inflammation.

Publication types

  • Review