Literature DB >> 19080723

Is a statin as part of a polypill the answer?

Jennifer G Robinson1.   

Abstract

Statins are a necessary component of a polypill. Almost all patients have the potential to benefit from low-density lipoprotein cholesterol reduction with statins, although absolute benefits due to the reduction in coronary heart disease and stroke vary by risk level. The reduction in coronary heart disease and stroke from antihypertensive therapy is additive to the reduction in risk from statins. Used in combination with antihypertensive therapy, a moderate-dose statin would be expected to reduce cardiovascular risk by at least 50%, and a high-dose statin would be expected to reduce risk by at least 60% over an approximately 5-year period. A polypill containing aspirin in addition to a statin and antihypertensive therapy would be appropriate for most men over age 55 years, but not for high-risk women until age 65 years and moderately high-risk women until age 75 years. Polypills in development hold great promise for reducing the global burden of cardiovascular disease.

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Year:  2009        PMID: 19080723     DOI: 10.1007/s11883-009-0003-0

Source DB:  PubMed          Journal:  Curr Atheroscler Rep        ISSN: 1523-3804            Impact factor:   5.113


  38 in total

1.  Statin safety: an appraisal from the adverse event reporting system.

Authors:  Michael H Davidson; John A Clark; Lucas M Glass; Anju Kanumalla
Journal:  Am J Cardiol       Date:  2006-02-03       Impact factor: 2.778

2.  Aspirin for the primary prevention of cardiovascular events in women and men: a sex-specific meta-analysis of randomized controlled trials.

Authors:  Jeffrey S Berger; Maria C Roncaglioni; Fausto Avanzini; Ierta Pangrazzi; Gianni Tognoni; David L Brown
Journal:  JAMA       Date:  2006-01-18       Impact factor: 56.272

3.  Should patients receive secondary prevention medications for free after a myocardial infarction? An economic analysis.

Authors:  Niteesh K Choudhry; Jerry Avorn; Elliott M Antman; Sebastian Schneeweiss; William H Shrank
Journal:  Health Aff (Millwood)       Date:  2007 Jan-Feb       Impact factor: 6.301

4.  Potential synergy between lipid-lowering and blood-pressure-lowering in the Anglo-Scandinavian Cardiac Outcomes Trial.

Authors:  Peter Sever; Björn Dahlöf; Neil Poulter; Hans Wedel; Gareth Beevers; Mark Caulfield; Rory Collins; Sverre Kjeldsen; Arni Kristinsson; Gordon McInnes; Jesper Mehlsen; Markku Nieminem; Eoin O'Brien; Jan Ostergren
Journal:  Eur Heart J       Date:  2006-12-04       Impact factor: 29.983

5.  Identifying patients for aggressive cholesterol lowering: the risk curve concept.

Authors:  Jennifer G Robinson; Neil J Stone
Journal:  Am J Cardiol       Date:  2006-10-02       Impact factor: 2.778

6.  Safety and efficacy of Atorvastatin-induced very low-density lipoprotein cholesterol levels in Patients with coronary heart disease (a post hoc analysis of the treating to new targets [TNT] study).

Authors:  John C LaRosa; Scott M Grundy; John J P Kastelein; John B Kostis; Heiner Greten
Journal:  Am J Cardiol       Date:  2007-06-14       Impact factor: 2.778

7.  Feasibility of treating prehypertension with an angiotensin-receptor blocker.

Authors:  Stevo Julius; Shawna D Nesbitt; Brent M Egan; Michael A Weber; Eric L Michelson; Niko Kaciroti; Henry R Black; Richard H Grimm; Franz H Messerli; Suzanne Oparil; M Anthony Schork
Journal:  N Engl J Med       Date:  2006-03-14       Impact factor: 91.245

8.  General cardiovascular risk profile for use in primary care: the Framingham Heart Study.

Authors:  Ralph B D'Agostino; Ramachandran S Vasan; Michael J Pencina; Philip A Wolf; Mark Cobain; Joseph M Massaro; William B Kannel
Journal:  Circulation       Date:  2008-01-22       Impact factor: 29.690

Review 9.  Lowering blood pressure to prevent myocardial infarction and stroke: a new preventive strategy.

Authors:  M Law; N Wald; J Morris
Journal:  Health Technol Assess       Date:  2003       Impact factor: 4.014

10.  A strategy to reduce cardiovascular disease by more than 80%.

Authors:  N J Wald; M R Law
Journal:  BMJ       Date:  2003-06-28
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