Meta-analysis Comparing Combined Use of Eicosapentaenoic Acid and Statin to Statin Alone.


Journal

The American journal of cardiology
ISSN: 1879-1913
Titre abrégé: Am J Cardiol
Pays: United States
ID NLM: 0207277

Informations de publication

Date de publication:
15 01 2020
Historique:
received: 25 08 2019
revised: 01 10 2019
accepted: 02 10 2019
pubmed: 20 11 2019
medline: 23 4 2020
entrez: 20 11 2019
Statut: ppublish

Résumé

Role of omega-3-Fatty acids, especially eicosapentaenoic acid (EPA), in reducing cardiovascular events is not clear. We conducted a meta-analysis including trial sequential analysis (TSA) of all available randomized controlled trials (RCTs) assessing the impact of EPA + statin on cardiovascular risk reduction. The aim is to appraise cardiovascular risk reduction with EPA and statin taken together. A comprehensive search of PubMed and EMBASE databases was conducted for all RCTs that compared EPA + Statin versus statin alone and included outcomes related to cardiovascular health. We calculated a comprehensive odds ratio (ORs) and 95% confidence intervals (CIs) using a random-effects model. We included 5 RCTs totaling 27,415 patients. Our results demonstrated that EPA + statin resulted in 18% reduction in the incidence of MACE (OR = 0.78; 95% CI: 0.65 to 0.93, I

Identifiants

pubmed: 31740020
pii: S0002-9149(19)31155-5
doi: 10.1016/j.amjcard.2019.10.009
pii:
doi:

Substances chimiques

Hydroxymethylglutaryl-CoA Reductase Inhibitors 0
Eicosapentaenoic Acid AAN7QOV9EA

Types de publication

Journal Article Meta-Analysis Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

198-204

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

Rajkumar Doshi (R)

Department of Internal Medicine, University of Nevada Reno School of Medicine, Reno, Nevada. Electronic address: raj20490@gmail.com.

Ashish Kumar (A)

Department of Critical Care Medicine, St John's Medical College Hospital, Bengaluru, Karnataka, India.

Samarthkumar Thakkar (S)

Department of Internal Medicine, Rochester General Hospital, Rochester, New York.

Mariam Shariff (M)

Department of Critical Care Medicine, St John's Medical College Hospital, Bengaluru, Karnataka, India.

Devina Adalja (D)

Department of Medicine, Gotri Medical Education and Research Center, Vadodara, Gujarat, India.

Abhi Doshi (A)

Department of Medicine, Sheth Lallubhai Gordhandas Municipal Hospital, Ahmedabad, Gujarat, India.

Mohamed Taha (M)

Department of Internal Medicine, University of Nevada Reno School of Medicine, Reno, Nevada.

Rajeev Gupta (R)

Department of Cardiology, Mediclinic Al Jowhara Hospital, Al Ain, UAE.

Rupak Desai (R)

Department of Cardiology, Atlanta VA Medical Center, Decatur, Georgia.

Jay Shah (J)

Department of Internal Medicine, Mercy St Vincent Medical Center, Toledo, Ohio.

Nageshwara Gullapalli (N)

Department of Internal Medicine, University of Nevada Reno School of Medicine, Reno, Nevada.

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Classifications MeSH