Document Detail


Meta-analysis of the studies assessing temporal changes in coronary plaque volume using intravascular ultrasound.
MedLine Citation:
PMID:  17196453     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess the temporal effect of statin therapy on coronary atherosclerotic plaque volume measured by intravascular ultrasound (IVUS), we searched PubMed for eligible studies published between 1990 and January 2006. Inclusion criteria for retrieved studies were (1) IVUS volume analysis at baseline and follow-up and (2) statin therapy in > or =1 group of patients. All data of interest were abstracted in prespecified structured collection forms. Statistical analysis was performed with Review Manager 4.2. Random-effect weighted mean difference (WMD) was used as summary statistics for comparison of continuous variables. Nine studies of 985 patients (with 11 statin treatment arms) were selected. After a mean follow-up of 9.8 +/- 4.9 months, we found a significant decrease in coronary plaque volume (WMD -5.77 mm(3), 95% confidence interval -10.36 to -1.17, p = 0.01), with no significant heterogeneity across studies (p = 0.47). Prespecified subgroup analyses showed similar trends. Studies in which the achieved low-density lipoprotein (LDL) cholesterol level was <100 mg/dl showed a trend for plaque regression (WMD -7.88 mm(3), 95% confidence interval -16.31 to 0.55, p = 0.07), whereas studies in which the achieved level of LDL cholesterol was > or =100 mg/dl, the trend was less evident (WMD -4.22 mm(3), 95% confidence interval -10.27 to 1.82, p = 0.17). Plaque volume remained essentially unchanged in patients not treated with statins (WMD 0.13 mm(3), 95% confidence interval -4.42 to 4.68, p = 0.96). In conclusion, statin therapy, particularly when achieving the target LDL level, appears to promote a significant regression of coronary plaque volume as measured by IVUS.
Authors:
Gastón A Rodriguez-Granillo; Pierfrancesco Agostoni; Héctor M Garcia-Garcia; Giuseppe G L Biondi-Zoccai; Eugène McFadden; Giovanni Amoroso; Peter de Jaegere; Nico Bruining; Pim de Feyter; Patrick W Serruys
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Publication Detail:
Type:  Journal Article; Meta-Analysis     Date:  2006-11-03
Journal Detail:
Title:  The American journal of cardiology     Volume:  99     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-01     Completed Date:  2007-02-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  5-10     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands. grodriguezgranillo@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Cholesterol, LDL / blood
Coronary Artery Disease / blood,  drug therapy*,  pathology,  ultrasonography
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
Randomized Controlled Trials as Topic
Severity of Illness Index
Ultrasonography, Interventional
Chemical
Reg. No./Substance:
0/Cholesterol, LDL; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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