IMPROVE-IT Trial Ezetimibe
<p>Dec 24, 2014 01:04 PM</p>
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non-statins ... no benfit...</p>
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ezetim inhibits intes absorp of choles.</p>
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eze can further reduce LDL by 20%.</p>
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can ezet further reduce cardiac events?
is lower better with LDLc.</p>
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STEMI/NSTEMI UA pts.</p>
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pts followed for avg 6 yrs... min 2.5 yrs.</p>
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primary: all death, MI, US, cor revasc, stroke...</p>
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LDLc 53 vs 70...</p>
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7 year event rates: 32.7% vs 34.7 % HR 0.936 p 0.016.</p>
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LOOK at Table on page 7 ! (barely any change)</p>
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all cause dath: 15.4% vs 15.3 %
CV death 6.9% vs 6.8%
CHD death 5.7 vs 5.8
MI 13.1 vs 14.8%</p>
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tiny diffs (need to add them up to get signif!)
CV death + MI + stroke 21.8% vs 23.4% 0.90 HR...</p>
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comments:
are we to applaud and celebrate a 6% relative risk reduction... driven
by nonfatal end points? (no!)</p>
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