Statins × cardiovascular events

SynthesisPloS one2017

No benefits of statins for sudden cardiac death prevention in patients with heart failure and reduced ejection fraction: A meta-analysis of randomized controlled trials.

Muaamar Al-Gobari et al.PubMed ↗Full text ↗Publisher ↗

  • Statinslooks good hereLower hospitalization for worsening heart failure, no clear effect on sudden cardiac deaths, no clear effect on deaths.Randomised, small.

What the trial testedrandomised · 2017

Randomised vs placebo

Probably lowered hospitalization for worsening heart failure

−21%−34% to −6%

statins vs placebo

Bigger than 5 in 10 for adverse events & safety

As reported

RR 0.79, 95% CI 0.66–0.94

Range includes no effect

No clear effect on sudden cardiac deaths

−8%−30% to +21%

statins vs placebo

Bigger than 1 in 10 for cardiovascular events

As reported

RR 0.92, 95% CI 0.70–1.21 · the paper's word: sudden cardiac death

Range includes no effect

No clear effect on deaths

−12%−25% to +2%

statins vs placebo

Bigger than 4 in 10 for all-cause mortality

As reported

RR 0.88, 95% CI 0.75–1.02 · the paper's word: all-cause mortality

Who was studied, and how

people with heart failure, in this paper

The trial randomly assignedassigned by chance

statins
placebo

Probably lowered hospitalization for worsening heart failure−21%

No clear effect on sudden cardiac deaths−8%

No clear effect on deaths−12%

randomised

the abstract, start to end

in HF patients [relative risk (RR) 0.92, 95% confidence interval (CI) 0.70 to 1.21], all-cause mortality [RR 0.88, 95% CI 0.75 to 1.02] but significantly reduced hospitalization for worsening heart failure (HWHF) although modestly [RR 0.79, 95% CI 0.66 to 0.94].

← favours treatmentfavours comparator →
could be chance
Sudden cardiac deathstatins vs placebo
RR 0.920.70–1.21
All-cause mortalitystatins vs placebo
RR 0.880.75–1.02
Hospitalization for worsening heart failurestatins vs placebo
RR 0.790.66–0.94
StatinsCardiovascular eventsAll-cause mortalityAdverse events & safety

Statins × cardiovascular eventshelps?replicated

unlikelylikely
0.86not counted

Statins × adverse events & safetyharms?mixed

unlikelylikely
0.16not counted

Statins × all-cause mortalityhelps?mixed

unlikelylikely
0.50not counted
← favours treatmentfavours comparator →
more certainless certain
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Full record →Abstract, authors, funding and every citing paper · PMID 28166237