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Researchers show serotonin can contribute to heart valve disease (High dose SSRIs or having gene ups risk)
Medical Xpress / Children's Hospital of Philadelphia / Science Translational Medicine ^ | Jan. 18, 2023 | Estibaliz Castillero et al

Posted on 01/20/2023 8:37:17 PM PST by ConservativeMind

The neurotransmitter serotonin can adversely affect the heart's mitral valve, contributing to a heart disease known as degenerative mitral regurgitation, according to a study

Degenerative mitral regurgitation is one of the most common cardiac valve diseases.

Although patients initially are asymptomatic, over time the mitral valve becomes thickened and deformed, and patients progressively feel tired and short of breath. As pumping becomes less efficient due to this leak, the heart needs to work harder. This extra work for the heart eventually causes congestive heart failure.

The researchers found taking selective serotonin reuptake inhibitors (SSRIs)—the most commonly-prescribed antidepressants—was associated with severe mitral regurgitation, which required surgery at a younger age than those not taking SSRIs.

In animal models, they found that normal mice treated with high doses of SSRIs developed thickened mitral valves. They also found mice lacking the serotonin transporter (SERT) gene, the target of SSRIs, developed thicker mitral valves.

The researchers identified genetic variants in a region of the SERT gene (5HTTLPR) that affect how active SERT is. Patients with two copies of a "long" variation of the gene that make SERT less active—one copy from the mother, and one from the father—had much lower SERT activity and required surgery more often.

Patients with this "long-long" variant were more likely to react to serotonin in a way that could change the mitral valve. Additionally, "long-long" mitral valve cells were more sensitive to SSRI treatment.

The researchers noted that they did not find a negative effect with normal doses of SSRIs and that a healthy mitral valve may tolerate low SERT without deforming, as it is unlikely that low SERT can cause degeneration of the mitral valve by itself. They suspect that once the mitral valve has started to degenerate, it may be more susceptible to serotonin and low SERT.

(Excerpt) Read more at medicalxpress.com ...


TOPICS: Health/Medicine
KEYWORDS:
Be careful with SSRIs and having a known valve issue. Consider getting the gene test, too.
1 posted on 01/20/2023 8:37:17 PM PST by ConservativeMind
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To: Mazey; ckilmer; goodnesswins; Jane Long; BusterDog; jy8z; ProtectOurFreedom; matthew fuller; ...

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2 posted on 01/20/2023 8:38:06 PM PST by ConservativeMind (Trump: Befuddling Democrats, Republicans, and the Media for the benefit of the US and all mankind.)
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To: ConservativeMind

Very interesting.


3 posted on 01/20/2023 8:55:55 PM PST by tired&retired (Blessings )
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To: ConservativeMind

I remember the BIG push after ACA(Obama care) and MD’s saying SSRI’s give better pain reduction and opioids.

Biggest anti depressants push in the pandemic was SSRI’s and SNRI’s.

All these heart problems now


4 posted on 01/20/2023 9:32:53 PM PST by Karliner (Heb 4:12 Rom 8:28 Rev 3, "...This is the end of the beginning." Churchill)
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To: ConservativeMind

What exactly is serotonin and what is it supposed to do in the body?


5 posted on 01/20/2023 10:44:02 PM PST by metmom (...fixing our eyes on Jesus, the Author and Perfecter of our faith…)
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To: metmom

Many things via many different receptors of two classes.

This article may be relevant to this article.

https://www.nature.com/articles/pr2009136


6 posted on 01/20/2023 11:00:40 PM PST by ifinnegan (Democrats kill babies and harvest their organs to sell)
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To: ConservativeMind

So does that mean depressed people have a lower chance of heart attacks?


7 posted on 01/20/2023 11:31:01 PM PST by Boogieman
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To: metmom

It’s a neurotransmitter that helps regulate your mood.


8 posted on 01/20/2023 11:32:31 PM PST by Boogieman
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To: ConservativeMind

I have never taken serotonin, yet in 1990 I blew a mitral valve after a heavy exercise routine. No more exercising for me!
I had open heart surgery in 1990 at the age of 44 and am constantly monitored for my warfarin blood level as I have an Omniscience heart valve. From what the doctors could tell, I had a bad valve and Afib all my life, yet spent 4 years in the military with no problems.

Still ticking and going strong at 77!


9 posted on 01/21/2023 7:10:12 AM PST by Ruy Dias de Bivar (“No man’s life, liberty, or property are safe while the legislature is in session.”)
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