Perreault S, et al. Eur J Clin Pharmacol 2009 Jun 16 [Epub]

Slides:



Advertisements
Similar presentations
Secretory Phospholipase A2: A New Risk Factor and Soon a New Target of Therapy Rabih R. Azar, MD, MSc, FACC Associate Professor of Medicine Division of.
Advertisements

Nancy M Allen LaPointe, Yuliya Lokhnygina, Gillian Sanders, Eric Peterson, and Sana Al- Khatib Is Selection of Antiarrhythmic Drugs for Atrial Fibrillation.
1 Journal Club Alcohol, Other Drugs, and Health: Current Evidence July–August 2011.
Weng TC, et al. J Clin Pharm Ther 2010;35:
Simvastatin in Patients With Prior Cerebrovascular Disease: HPS
Treating to New Targets Study TNT Trial Presented at The American College of Cardiology Scientific Sessions 2005 Presented by Dr. John C. LaRosa.
COURAGE: Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation Purpose To compare the efficacy of optimal medical therapy (OMT)
BEAUTI f UL: morBidity-mortality EvAlUaTion of the I f inhibitor ivabradine in patients with coronary disease and left ventricULar dysfunction Purpose.
David J. Graham et al. JAMA, 2004; 292: 2585 Description of Inception Cohorts for Patients Using Statin and Fibrate Drug Therapy.
Flow diagram of the systematic literature search indicating the inclusion and exclusion process of studies Liakopoulos OJ, et al. Eur Heart J 2008;29:
Increased mortality among patients taking digoxin—analysis from the AFFIRM study or Lack of evidence of increased mortality among patients with atrial.
Palpitations & Atrial Fibrillation Dr Mehul B Dhinoja, Consultant Cardiologist & Electrophysiologist BMI The London Independent Hospital.
Date of download: 5/28/2016 From: New Fibrate Use and Acute Renal Outcomes in Elderly Adults: A Population-Based Study Ann Intern Med. 2012;156(8):
Bleeding After Initiation of Multiple Antithrombotic Drugs, Including Triple Therapy, in Atrial Fibrillation Patients Following Myocardial Infarction and.
Carina Signori, DO Journal Club August 2010 Macdonald, M. et al. Diabetes Care; Jun 2010; 33,
Effect of Spironolactone on Diastolic Function and Exercise Capacity in Patients with Heart Failure with preserved Ejection Fraction Effect of Spironolactone.
Statin treatment and reduced risk of pneumonia in patients with diabetes EMW van de Garde, E Hak, P c Souverein, AW Hoes, JMM van den Bosch, HGM Leufkens.
CHEST 2013; 144(3): R3 김유진 / Prof. 장나은. Introduction 2  Cardiovascular diseases  common, serious comorbid conditions in patients with COPD cardiac.
R. Papani, A. G. Duarte, Y-L. Lin, G. Sharma
Heart Failure Events and All-cause Death in New Users of SGLT-2 inhibitors vs other glucose-lowering drugs - consistent risk reduction across patient groups.
Case 66 year old male with PMH of HTN, DM, ESRD on renal replacement TIW, stroke in 2011 with right side residual weakness, atrial fibrillation, currently.
Journal of the American College of Cardiology
Trial profile SAS denotes the Simvastatin in Aortic Stenosis Study
Adverse events for rosuvastatin
All-cause mortality by treatment group
Chapter 8: Cardiovascular Disease in Patients with ESRD
Volume 1: Chronic Kidney Disease
First time a CETP inhibitor shows reduction of serious CV events
SPIRE Program: Studies of PCSK9 Inhibition and the Reduction of Vascular Events Unanticipated attenuation of LDL-c lowering response to humanized PCSK9.
BENEFIT Trial design: Patients with positive serologic tests for T. Cruzi and cardiomyopathy were randomized to benznidazole 300 mg daily for days.
Effect of Statin Adherence on Cerebrovascular Disease in Primary Prevention  Sylvie Perreault, BPharm, PhD, Laura Ellia, MSc, Alice Dragomir, MSc, Robert.
Chapter 4: Cardiovascular Disease in Patients with CKD
Baseline characteristics of patients
Trial profile John A Dormandy et al. Lancet 2005;366:
SIGNIFY Trial design: Participants with stable coronary artery disease without clinical heart failure and resting heart rate >70 bpm were randomized to.
Chapter 8: Cardiovascular Disease in Patients with ESRD
PROCAMIO Trial design: Patients with hemodynamically stable wide complex monomorphic tachycardia were randomized 1:1 to either intravenous procainamide.
Comorbidities in RA and PsA
Selmer R, et al. Br J Clin Pharmacol 2009;67:355-62
MACE rate among CAD severity groups (total 0
David F. Katz et al. JACEP 2016;j.jacep
Q.A. Truong et al. Circ Cardiovasc Qual Outcomes 2011;4:
Kaplan-Meier curves: revascularisation rate (PCI or CABG) was significantly higher (p
Classification of statins/dosages according to the attainable
Volume 14, Issue 12, Pages (December 2017)
Kaplan–Meier estimates of the incidence of first heart failure hospitalization during follow-up according to the statin category among patients with type.
Daan Kromhout, et al. NEJM epub August 29, 2010
A decade after the Surgical Treatment for Ischemic Heart Failure (STICH) trial: Weaving firm clinical recommendations from lessons learned  Robert E.
Trial profile GISSI-HF investigators. Lancet 2008; Aug 29 [Epub ahead of print]
Trial profile GISSI-HF investigators. Lancet 2008; Aug 29 [Epub ahead of print]
David F. Katz et al. JACEP 2017;3:20-28
Volume 76, Issue 6, Pages (September 2009)
Flow diagram for exclusions of trials identified RCT indicates randomized controlled trial Hulten E, et al. Arch Intern Med 2006;166:
Characteristics of 21,484 Patients With MI Who Survived for >30 Days After Discharge, by Calendar Year - Part I Soko Setoguchi, et al. J Am Coll Cardiol.
Baseline Patients with coronary artery disease (CAD) and high (n=98) versus normal (n=1512) high-density lipoprotein (HDL) levels Doreen DeFaria Yeh, et.
Baseline Demographic Characteristics of Adults With Diagnosed Heart Failure and Eligible to Receive Lipid-Lowering Therapy Alan S. Go, et al.
Risk factors, medical therapies and perioperative events in limb salvage surgery: Observations from the PREVENT III multicenter trial  Michael S. Conte,
Adjunctive Therapies in the Treatment of Acute Coronary Syndromes
Volume 87, Issue 1, Pages (January 2015)
Kaplan–Meier survival curve for major adverse cardiac events (MACE): a trend towards superior survival in patients without signs of coronary artery disease.
Simvastatin in Patients With Prior Cerebrovascular Disease: HPS
SPIRE Program: Studies of PCSK9 Inhibition and the Reduction of Vascular Events Unanticipated attenuation of LDL-c lowering response to humanized PCSK9.
Flow chart of search strategy
Flow chart of the cohort selection for the study
Baseline Clinical Characteristics of All Patients and Patients Grouped by Statin Therapy - Part I H. Fukuta et al. Circulation 2005;112:
Kaplan-Meier estimation of diabetes-related survival curves in patients grouped according to increased 24-h proteinuria (A), the presence of preexisting.
Increase of physical activity over time associated with lower HF risk
Risk of 30-day hospital encounter with ventricular arrhythmia
Kaplan-Meier curve of the primary outcome in patients prescribed ACE inhibitor (ACEI) and angiotensin receptor blocker (ARB). Kaplan-Meier curve of the.
Identification of thresholds for significant renal recovery in relation to patient and renal survival. Identification of thresholds for significant renal.
Presentation transcript:

Perreault S, et al. Eur J Clin Pharmacol 2009 Jun 16 [Epub]

Flow chart of inclusion and exclusion criteria Exclusion criteria were assessed in the 2 years preceding the index date for the medication and in the 5 years preceding the index date for hospitalizations, diagnosis, or medical procedures Perreault S, et al. Eur J Clin Pharmacol 2009 Jun 16 [Epub]

Characteristics of patients in the cohort starting a new statin treatment in the Quebec RAMQ database in 1999–2004 Perreault S, et al. Eur J Clin Pharmacol 2009 Jun 16 [Epub]

Characteristics of patients at the baseline with respect to the adherence level Perreault S, et al. Eur J Clin Pharmacol 2009 Jun 16 [Epub]

Characteristics of patients and their matched controls having experienced a CAD a P values are related to analyses made to compare cases with controls b At treatment initiation c Statin equivalent in simvastatin dose during follow-up. Simvastatin 20 mg = lovastatin 40 mg = pravastatin 40 mg = fluvastatin 80 mg = atorvastatin 10 mg = rosuvastatin 5 mg d Proportion of days covered (%) e Diagnosis of cerebrovascular disease: (ICD-9 codes 430–438) or medical procedures f Diagnosis of peripheral artery disease: diagnosis (ICD-9 codes 440–447), medical procedure of noncoronary angioplasty, or use of pentoxifylline g Diagnosis of chronic heart failure: (ICD-9 codes: 398.91, 402.01, 402.11, 402.91, 428.0, 428.1, and 428.9) or a prescription of furosemide alone or with digoxin, ACEI, spironolactone, or β-blockers h Diagnosis of other CVD: arrhythmia: diagnosis (ICD-9 code 427), a medical procedure using a pacemaker, or use of drugs for cardiac arrhythmias (amiodarone, digoxin, quinidine, disopyramide, flecainamide, mexiletine, procainamide, propafenone, or sotalol); or valvular heart disease; or use of anticoagulants i ICD-9 or pharmacologic treatment j Proportion of days covered (%) in the year before the index date Perreault S, et al. Eur J Clin Pharmacol 2009 Jun 16 [Epub]

Kaplan-Meier curves of the time to the first CAD event among high and low adherence levels Perreault S, et al. Eur J Clin Pharmacol 2009 Jun 16 [Epub]

Rate ratios (RR) and 95% confidence intervals of coronary artery disease a Statin equivalent in simvastatin dose during follow-up. Simvastatin 20 mg = lovastatin 40 mg = pravastatin 40 mg = fluvastatin 80 mg = atorvastatin 10 mg = rosuvastatin 5 mg b Proportion of days covered (%) c At treatment initiation d Diagnosis of cerebrovascular disease: (ICD-9 codes 430–438) or medical procedures e Diagnosis of peripheral artery disease: diagnosis (ICD-9 codes 440–447), medical procedure of noncoronary angioplasty, or use of pentoxifylline f Diagnosis of chronic heart failure: (ICD-9 codes: 398.91, 402.01, 402.11, 402.91, 428.0, 428.1, and 428.9) or a prescription of furosemide alone or with digoxin, ACEI, spironolactone, or β-blockers g Diagnosis of other CVD: arrhythmia: diagnosis (ICD-9 code 427), a medical procedure using a pacemaker, or use of drugs for cardiac arrhythmias (amiodarone, digoxin, quinidine, disopyramide, flecainamide, mexiletine, procainamide, propafenone, or sotalol); or valvular heart disease; or use of anticoagulants h ICD-9 or pharmacologic treatment i Proportion of days covered (%) in the year before the index date Perreault S, et al. Eur J Clin Pharmacol 2009 Jun 16 [Epub]

Change in RR of CAD after adjustment for unmeasured confounders Perreault S, et al. Eur J Clin Pharmacol 2009 Jun 16 [Epub]