Source:http://linkedlifedata.com/resource/pubmed/id/15374773
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2004-9-17
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pubmed:abstractText |
The Incremental Decrease in End Points through Aggressive Lipid Lowering (IDEAL) study is an investigator-initiated trial designed to determine whether additional clinical benefit might be gained through a strategy that decreases levels of low-density lipoprotein cholesterol levels better than those currently achieved with established statin therapy in patients who have coronary heart disease. IDEAL is a multicenter prospective, randomized, open-label, blinded, end point classification study. Patients who had myocardial infarction were randomized to prescription treatment with 80 mg/day of atorvastatin or 20 mg/day of simvastatin (the dose was increased to 40 mg/day at week 24 in those patients whose plasma total cholesterol remained >5.0 mmol/L, or 190 mg/dl, or whose low-density lipoprotein cholesterol remained >3.0 mmol/L, or 115 mg/dl). The primary clinical outcome variable is the time to initial occurrence of a major coronary event, which is defined as nonfatal acute myocardial infarction, coronary death, or resuscitated cardiac arrest. The study is designed to have a power of 90% to detect a relative decrease of 20% in the atorvastatin-group compared with the simvastatin-group in the number of major events caused by coronary heart disease over approximately 5.5 years. The 8,888 randomized patients had the following characteristics: mean age 61.7 +/- 9.5 years, 19.1% women (mean age 64.0 +/- 9.5 years), baseline total cholesterol 5.1 +/- 1.0 mmol/L (197 mg/dl), low-density lipoprotein cholesterol 3.2 +/- 0.9 mmol/L (124 mg/dl), and high-density lipoprotein cholesterol 1.2 +/- 0.3 mmol/L (46 mg/dl). Drug treatment before randomization consisted of statins in 77% of patients, aspirin in 78.9%, beta blockers in 75.1%, and angiotensin-converting enzyme inhibitors in 30%.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Anticholesteremic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Cholesterol, LDL,
http://linkedlifedata.com/resource/pubmed/chemical/Heptanoic Acids,
http://linkedlifedata.com/resource/pubmed/chemical/Pyrroles,
http://linkedlifedata.com/resource/pubmed/chemical/Simvastatin,
http://linkedlifedata.com/resource/pubmed/chemical/atorvastatin
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-9149
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pubmed:author |
pubmed-author:BendiksenFredrik SFS,
pubmed-author:FaergemanOleO,
pubmed-author:HolmeIngarI,
pubmed-author:Incremental Decrease in End Points Through Aggressive Lipid Lowering...,
pubmed-author:KasteleinJohn J PJJ,
pubmed-author:LarsenMogens LytkenML,
pubmed-author:LindahlChristinaC,
pubmed-author:OlssonAnders GAG,
pubmed-author:PalmerGaryG,
pubmed-author:PedersenTerje RTR,
pubmed-author:TikkanenMatti JMJ
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pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
94
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
720-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15374773-Adult,
pubmed-meshheading:15374773-Aged,
pubmed-meshheading:15374773-Anticholesteremic Agents,
pubmed-meshheading:15374773-Cholesterol, LDL,
pubmed-meshheading:15374773-Coronary Disease,
pubmed-meshheading:15374773-Female,
pubmed-meshheading:15374773-Heptanoic Acids,
pubmed-meshheading:15374773-Humans,
pubmed-meshheading:15374773-Male,
pubmed-meshheading:15374773-Middle Aged,
pubmed-meshheading:15374773-Prospective Studies,
pubmed-meshheading:15374773-Pyrroles,
pubmed-meshheading:15374773-Research Design,
pubmed-meshheading:15374773-Simvastatin,
pubmed-meshheading:15374773-Treatment Outcome
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pubmed:year |
2004
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pubmed:articleTitle |
Design and baseline characteristics of the Incremental Decrease in End Points through Aggressive Lipid Lowering study.
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pubmed:affiliation |
Center for Preventive Medicine, Ullevål University Hospital, N-0407 Oslo, Norway. t.r.pedersen@ioks.uio.no
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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