Baseline blood pressure, low- and high-density lipoproteins, and triglycerides and the risk of vascular events in the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial

Pierre Amarenco, Larry B Goldstein, Alfred Callahan, Henrik Sillesen, Michael G Hennerici, Blair J O'Neill, Amy E Rudolph, Lisa Simunovic, Justin A Zivin, K M A Welch, Helle Klingenberg Iversen, SPARCL Investigators

87 Citationer (Scopus)

Abstract

OBJECTIVE: To explore the relative contributions of baseline systolic blood pressure (SBP) and diastolic blood pressure (DBP) and lipoproteins on the risk of recurrent stroke or first major cardiovascular event (MCVE) and their potential impact on the benefit of statin treatment. METHODS AND RESULTS: The SPARCL trial randomized 4731 patients with recent stroke or transient ischemic attack (TIA) and no known coronary heart disease and LDL-C between 100 and 190 mg/dL to either atorvastatin 80 mg/d or placebo. Baseline assessment included SBP, DBP and measurements of low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C), and triglyceride levels. After 4.9 years of follow-up, there were 575 primary end points (fatal and nonfatal stroke), including 491 ischemic strokes, and 740 MCVEs (stroke plus myocardial infarction and vascular death). Cox regression models analysis showed a trend (P>0.05 and P
OriginalsprogEngelsk
TidsskriftAtherosclerosis
Vol/bind204
Udgave nummer2
Sider (fra-til)515-20
Antal sider6
ISSN0021-9150
DOI
StatusUdgivet - 1 jun. 2009

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