Other lipid agents × cardiovascular events

TrialThe New England journal of medicine2008

Intensive lipid lowering with simvastatin and ezetimibe in aortic stenosis.

Anne B Rossebø et al.PubMed ↗Publisher ↗

  • Simvastatin-ezetimibelooks good hereFewer ischemic cardiovascular events, no clear effect on composite of major cardiovascular events, no clear effect on aortic-valve replacement.Randomised, large.

What the trial testedrandomised · 1,873 people · 2008

Randomised vs placebo

Reduced ischemic cardiovascular events

−22%−37% to −3%

simvastatin-ezetimibe vs placebo

Bigger than 5 in 10 for cardiovascular events

As reported

HR 0.78, 95% CI 0.63–0.97

Range includes no effect

No clear effect on composite of major cardiovascular events

−4%−17% to +12%

simvastatin-ezetimibe vs placebo

35 in 100 instead of 38

Smaller than almost all for cardiovascular events

As reported

HR 0.96, 95% CI 0.83–1.12

Range includes no effect

No clear effect on aortic-valve replacement

+0%−16% to +18%

simvastatin-ezetimibe vs placebo

Smaller than almost all on the map

As reported

HR 1.00, 95% CI 0.84–1.18

Who was studied, and how

1,873people with cardiovascular disease, in this paper

The trial randomly assignedassigned by chance

simvastatin-ezetimibe
placebo

Reduced ischemic cardiovascular events−22%

No clear effect on composite of major cardiovascular events−4%

No clear effect on aortic-valve replacement+0%

randomised

the abstract, start to end

in the simvastatin-ezetimibe group, 0.96; 95% confidence interval [CI],

in the placebo group (hazard ratio, 1.00; 95% CI, 0.84 to 1.18; P=0.97).

group (187 patients) (hazard ratio, 0.78; 95% CI, 0.63 to 0.97; P=0.02),

← favours treatmentfavours comparator →
could be chance
Composite of major cardiovascular eventssimvastatin-ezetimibe vs placebo
HR 0.960.83–1.12
Aortic-valve replacementsimvastatin-ezetimibe vs placebo
HR 1.000.84–1.18
Ischemic cardiovascular eventssimvastatin-ezetimibe vs placebo
HR 0.780.63–0.97
StatinsOther lipid agentsCardiovascular eventsCardiac & vascular function

Other lipid agents × cardiovascular eventshelps?settled

unlikelylikely
0.800.80 without it

Statins × cardiovascular eventshelps?replicated

unlikelylikely
0.860.86 without it

Other lipid agents × cardiac & vascular functionhelps?mixed

unlikelylikely
0.000.00 without it
← favours treatmentfavours comparator →
this papermore certainless certain
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Full record →Abstract, authors, funding and every citing paper · PMID 18765433