Linked Life Data

19104004

Source:http://linkedlifedata.com/resource/pubmed/id/19104004

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2009-1-23
pubmed:databankReference
pubmed:abstractText
Lipid-lowering therapy in individuals with high risk of cardiovascular disease reduces the incidence of coronary heart disease. However, few studies have assessed the benefits of cholesterol lowering for primary prevention of coronary heart disease in hypertensive patients with mild dyslipidemia or without conventional dyslipidemia. The large, randomized Management of Elevated Cholesterol in the Primary Prevention Group of Adult Japanese Study showed a 33% reduction in coronary heart disease incidence with pravastatin as the primary prevention in Japanese patients. We conducted an exploratory analysis of the effect of diet plus pravastatin therapy on the primary prevention of cardiovascular events (coronary heart disease, coronary heart disease plus cerebral infarction, and cardiovascular disease) in the 3277 patients with hypertension during the 5-year follow-up. There were no significant differences in mean baseline total cholesterol, blood pressure levels, or variation in blood pressure during the 5-year period between the diet (n=1664) and diet plus pravastatin (n=1613) groups. In the diet plus pravastatin group, the relative risk of coronary heart disease plus cerebral infarction was reduced by 35% (hazard ratio: 0.65; CI: 0.46 to 0.93; P=0.02), cerebral infarction by 46% (hazard ratio: 0.54; CI: 0.29 to 0.98; P=0.04), and cardiovascular disease by 33% (hazard ratio: 0.67; CI: 0.49 to 0.91; P=0.01). In patients without a history of cardiovascular disease who have hypertension and mildly elevated cholesterol, pravastatin was effective in reducing the incidence of cardiovascular disease, particularly cerebral infarction. Hence, in patients with hypertension with mildly elevated cholesterol levels, treatment with a statin is advisable to reduce the burden of cardiovascular disease.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1524-4563
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
53
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
135-41
pubmed:dateRevised
2009-6-18
pubmed:meshHeading
pubmed-meshheading:19104004-Aged, pubmed-meshheading:19104004-Anticholesteremic Agents, pubmed-meshheading:19104004-Blood Pressure, pubmed-meshheading:19104004-Cardiovascular Diseases, pubmed-meshheading:19104004-Cerebral Infarction, pubmed-meshheading:19104004-Cholesterol, pubmed-meshheading:19104004-Combined Modality Therapy, pubmed-meshheading:19104004-Coronary Disease, pubmed-meshheading:19104004-Diet, pubmed-meshheading:19104004-Dyslipidemias, pubmed-meshheading:19104004-Female, pubmed-meshheading:19104004-Follow-Up Studies, pubmed-meshheading:19104004-Humans, pubmed-meshheading:19104004-Hypertension, pubmed-meshheading:19104004-Incidence, pubmed-meshheading:19104004-Japan, pubmed-meshheading:19104004-Male, pubmed-meshheading:19104004-Middle Aged, pubmed-meshheading:19104004-Pravastatin, pubmed-meshheading:19104004-Severity of Illness Index
pubmed:year
2009
pubmed:articleTitle
Pravastatin for cardiovascular event primary prevention in patients with mild-to-moderate hypertension in the Management of Elevated Cholesterol in the Primary Prevention Group of Adult Japanese (MEGA) Study.
pubmed:affiliation
Nihon University School of Medicine, Health Planning Center, 1-7-3, Kandasurugadai, Chiyoda-ku, Tokyo, 101-0062 Japan. kushiro@med.nihon-u.ac.jp
pubmed:publicationType
Journal Article, Randomized Controlled Trial