Statins × cardiovascular events

TrialThe New England journal of medicine2016

Cholesterol Lowering in Intermediate-Risk Persons without Cardiovascular Disease.

Salim Yusuf et al.PubMed ↗Publisher ↗

  • Rosuvastatin at a dose of 10 mg per daylooks good hereFewer composite of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke, lower composite of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke, revascularization, heart failure, and resuscitated cardiac arrest.Randomised, large.

What the trial testedrandomised · 12,705 people · 2016

Randomised vs placebo

Reduced composite of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke

−24%−36% to −9%

rosuvastatin at a dose of 10 mg per day vs placebo

4 in 100 instead of 5

Bigger than 6 in 10 for cardiovascular events

As reported

HR 0.76, 95% CI 0.64–0.91

Randomised vs placebo

Lowered composite of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke, revascularization, heart failure, and resuscitated cardiac arrest

−25%−36% to −12%

rosuvastatin at a dose of 10 mg per day vs placebo

4 in 100 instead of 5

Bigger than 6 in 10 for cardiovascular events

As reported

HR 0.75, 95% CI 0.64–0.88

+1 more in the walkthrough ↓

Who was studied, and how

12,705people with cardiovascular disease, in this paper

The trial randomly assignedassigned by chance

rosuvastatin at a dose of 10 mg per day
placebo

Reduced composite of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke−24%

Lowered composite of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke, revascularization, heart failure, and resuscitated cardiac arrest−25%

Reported lower LDL cholesterol, no range given−26.5

randomised

the abstract, start to end

lipoprotein cholesterol level was 26.5% lower in the rosuvastatin

in the placebo group (hazard ratio, 0.76; 95% confidence interval [CI],

in the placebo group; hazard ratio, 0.75; 95% CI, 0.64 to 0.88;

← favours treatmentfavours comparator →
could be chance
No interval given · direction only, strength unknown
Low-density lipoprotein cholesterol levelrosuvastatin at a dose of 10 mg per day vs placebo
−26.5
Composite of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal strokerosuvastatin at a dose of 10 mg per day vs placebo
HR 0.760.64–0.91
Composite of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke, revascularization, heart failure, and resuscitated cardiac arrestrosuvastatin at a dose of 10 mg per day vs placebo
HR 0.750.64–0.88
StatinsLipidsCardiovascular events

Statins × cardiovascular eventshelps?replicated

unlikelylikely
0.860.85 without it
← favours treatmentfavours comparator →
this papermore certainless certain
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