Cumulative incidence of cardiovascular events according to medication group in participants of the 4D study with an LDL-C in its fourth quartile at baseline.

Slides:



Advertisements
Similar presentations
Statin Landmark Trials Across the Spectrum of Risk: Secondary CV Prevention.
Advertisements

Atorvastatin in Type 2 diabetics on dialysis: 4D Study 1255 T2DM patients on dialysis for 8.3 mo; 29% with prior MI or revascularization or CHD; 35% CHF;
Trial profile Fox K et al. Lancet 2008;372:
TNT: Study Design Treating to New Targets 2 5 years 10,001 Patients Clinically evident CHD LDL-C 130  250 mg/dL following up to 8-week washout and 8-week.
VBWG IDEAL: The Incremental Decrease in End Points Through Aggressive Lipid Lowering Study.
(N=488) Simvastatin in Patients With Prior Cerebrovascular Disease: HPS *29% RRR, p=0.001 Heart Protection Study Collaborative Group. Lancet. 2004;363:
COURAGE: Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation Purpose To compare the efficacy of optimal medical therapy (OMT)
Slide Source: Primary and Other Outcomes: DREAM Rosiglitazone group (n=2635) Placebo group (n=2634)HR (95% CI)p Composite primary.
Management of Elevated Cholesterol in the Primary Prevention Group of Adult Japanese (MEGA) Trial MEGA Trial Presented at The American Heart Association.
WOSCOPS: West Of Scotland Coronary Prevention Study Purpose To determine whether pravastatin reduces combined incidence of nonfatal MI and death due to.
SPARCL – Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) Jim McMorran Coventry GP GP with Specialist Interest in Diabetes and.
Collaborative Atorvastatin Diabetes Study CARDS Dr Sachin Kadoo.
Slide Source: Lipids Online Slide Library Anglo-Scandinavian Cardiac Outcomes Trial (ASCOT) Design Sever PS et al. J Hypertens 2001;19:1139–1147.
Rosuvastatin 10 mg n=2514 Placebo n= to 4 weeks Randomization 6weeks3 monthly Closing date 20 May 2007 Eligibility Optimal HF treatment instituted.
The AURORA Trial Source: Holdaas H, Holme I, Schmieder RE, et al. Rosuvastatin in diabetic hemodialysis patient. J Am Soc Nephrol. 2011;22(7):1335–1341.
Discontinuation of medication after nonfatal event: MI
Low-Dose Aspirin for Primary Prevention of Cardiovascular Events in Patients With Diabetes: A Meta-Analysis  Stavros Stavrakis, MD  The American Journal.
Flow of Individuals Through the Vitamin E and Vitamin C Components of the Physicians’ Health Study II Howard D. Sesso et al. JAMA 2008;300:
LEADER trial: Primary Outcome
AIM HIGH Niacin plus Statin to prevent vascular events
SPIRE Program: Studies of PCSK9 Inhibition and the Reduction of Vascular Events Unanticipated attenuation of LDL-c lowering response to humanized PCSK9.
TNT: Baseline and final LDL cholesterol levels
ACC 2018 Orlando, Florida Anti-Inflammatory Therapy with Canakinumab for the Prevention and Management of Diabetes A Pre-Specified Secondary Endpoint from.
Prevalence, Predictors, and Outcomes in Treatment-resistant Hypertension in Patients with Coronary Disease  Sripal Bangalore, MD, MHA, Rana Fayyad, PhD,
Baseline characteristics of patients
Age-related cumulative incidence for (A) serious adverse events (including death, heart failure admission, ventricular arrhythmia and cardiac transplant)
Nat. Rev. Cardiol. doi: /nrcardio
Probability of cumulative incidence of ESRD, disease-related death, or death from other cause for the entire cohort. Probability of cumulative incidence.
Zuzana Motovska et al. JACC 2018;71:
Relative risk of major events with atenolol vs placebo
4D trial: Primary end point
P2Y12 blockade versus placebo; risk ratio with 95% CIs for the primary composite end point of cardiovascular death, non-fatal myocardial infarction and.
Albuminuria as a predictor of cardiovascular and renal outcomes in people with known atherosclerotic cardiovascular disease  Johannes F.E. Mann, Qi-Long.
Potential mechanisms whereby statins may reduce the risk of stroke
Daan Kromhout, et al. NEJM epub August 29, 2010
Baseline Characteristics of Cardiovascular Risk Factors and Selected Dietary Variables in a Cohort of 22,881 Men and 35,091 Women to Quintile of Fish Intakes.
Svend A. Mortensen et al. JCHF 2014;2:
Berger JS, et al. JAMA 2009;301:
Risk of mortality and fatal and nonfatal cardiovascular events in highest vs lowest quartiles for troponin T End point Relative risk 95% CI p Mortality.
Baseline Characteristics of the Study Participants
Baseline Characteristics of the Subjects*
Baseline characteristics for patients with diabetes in ASCOT-LLA Part I P.S. SEVER et al Diabetes Care 2005; 28: 1151–1157.
Women’s Health Study: Baseline Characteristics Part 1
Baseline Characteristics of the Patients – Part I
Forest plot showing the association between center-level characteristics and death-censored technique failure after adjusting for age, sex, race, body.
Volume 74, Issue 11, Pages (December 2008)
An ACCORD BP sub-analysis HR: 1.06; 95%CI: ; P=0.61
Cumulative survival without events during 1 year of follow-up in patients treated with zofenopril (n=1808), placebo (n=951), lisinopril (n=520) or ramipril.
PROSPER: trial design                                                                                                                                                                 
Cumulative survival without events during the first 42 days of treatment with zofenopril (n=1808), placebo (n=951), lisinopril (n=520) or ramipril (n=351)
Kaplan-Meier curve of cumulative percentage of cardiac mortality by peak flow rate category (adjusted HRs (95% CI) compared with ≥550 L/min: (
SPIRE Program: Studies of PCSK9 Inhibition and the Reduction of Vascular Events Unanticipated attenuation of LDL-c lowering response to humanized PCSK9.
TNT diabetes analysis: Baseline and final LDL cholesterol levels
Comparison of Baseline Characteristics by Primary End Point
EMPA-REG OUTCOME: Cumulative incidence of the primary outcome
Seven-year cumulative incidence of ESRD according to baseline creatinine clearance (Ccr) and result of urine test for proteinuria (19). Seven-year cumulative.
An ACCORD BP sub-analysis HR: 1.06; 95%CI: ; P=0.61
The benefit of evolocumab treatment is consistent regardless of inflammation level HR %CI ARR 1.6% 1.8%
FIELD: Primary outcome
Cardiac death, target vessel myocardial infarction (MI), target lesion revascularisation (TLR) by Kaplan-Meier method. Cardiac death, target vessel myocardial.
Risk differences for incident stroke, coronary heart disease (CHD), and cardiovascular mortality (per 1000 person-years) by clinical risk factor in the.
Prasugrel versus clopidogrel; risk ratio with 95% CIs for the primary composite end point of cardiovascular death, non-fatal myocardial infarction and.
Javier Escaned et al. JCIN 2018;11:
Graph showing percentage of total patients with PTD or IGT that would be detected in each category of FBG if an oral glucose tolerance test were performed.
Distribution of percent consistent facility aspirin use.
Prasugrel and ticagrelor versus clopidogrel; risk ratio with 95% CIs for the primary composite end point of cardiovascular death, non-fatal myocardial.
Identification of thresholds for significant renal recovery in relation to patient and renal survival. Identification of thresholds for significant renal.
Comparison of investigator-reported and mortality adjudication committee-adjudicated fatal events (myocardial infarction, sudden death, sudden cardiac.
The cumulative incidence curve demonstrated that patients with a sub-optimal LDL-C response to statin therapy were associated with a higher risk of CVD.
Cumulative mean numbers of confirmed (plasma glucose ≤3
Presentation transcript:

Cumulative incidence of cardiovascular events according to medication group in participants of the 4D study with an LDL-C in its fourth quartile at baseline (≥145 mg/dl, 3.76 mmol/L). Cumulative incidence of cardiovascular events according to medication group in participants of the 4D study with an LDL-C in its fourth quartile at baseline (≥145 mg/dl, 3.76 mmol/L). (a) Cumulative incidence of the combined primary endpoint (cardiac death, nonfatal myocardial infarction, or stroke). The HR for atorvastatin, as compared with placebo, was 0.69 (95% CI 0.48 to 0.69). (b) Cumulative incidence of cardiac deaths, for which the HR in the atorvastatin group was 0.58 (95% CI 0.34 to 0.69). (c) Cumulative incidence of sudden cardiac death, for which the HR in the atorvastatin group was 0.48 (95% CI 0.25 to 0.94). (d) Cumulative incidence of nonfatal myocardial infarction, for which the HR in the atorvastatin group was 0.62 (95% CI 0.33 to 1.17). (e) Cumulative incidence of any cardiac event, for which the HR in the atorvastatin group was 0.68 (95% CI 0.47 to 0.98). (f) Cumulative incidence of death from any cause, for which the HR in the atorvastatin group was 0.72 (95% CI 0.52 to 0.99). Winfried März et al. CJASN 2011;6:1316-1325 ©2011 by American Society of Nephrology