• ADRs occurred in 19% of hospitalized cardiovascular patients, with gastrointestinal bleeding being the most common.
• Antiplatelet and anticoagulant therapies were the leading causes of ADRs, highlighting the need for careful risk-benefit assessment.
• Advanced age, polypharmacy, and renal impairment were independent predictors of ADRs, enabling targeted prevention strategies.
• ADRs significantly prolonged hospital stays and increased mortality, underscoring the importance of proactive pharmacovigilance.
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