Cardiovascular effects and safety of classic psychedelics.
Nature cardiovascular research February 1, 2025 Acile Nahlawi, Leon M Ptaszek, Jeremy N Ruskin 15 citations
Psychedelics, long used in spiritual and healing contexts, are being studied as treatments for depression, PTSD, substance use disorders, and anxiety. However, data on their cardiovascular safety are limited. This review categorizes cardiovascular effects into three areas: electrophysiological effects and arrhythmia risk, structural effects and valvular heart disease risk, and vascular effects including hypertension and ischemia. It highlights crucial knowledge gaps, such as the need for studies in people with underlying cardiovascular disease, characterization of drug-drug interactions, and research on the safety of repetitive, long-term exposure, including microdosing.