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Effects of Intense Low-Density Lipoprotein Cholesterol Reduction in Patients With Stroke or Transient Ischemic Attack
Author(s) -
Pierre Amarenco,
Larry B. Goldstein,
Michael Szarek,
Henrik Sillesen,
Amy E. Rudolph,
Alfred Callahan,
Michael G. Hennerici,
Lisa Simunovic,
Justin A. Zivin,
K.M.A. Welch
Publication year - 2007
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.107.493106
Subject(s) - medicine , stroke (engine) , atorvastatin , post hoc analysis , hazard ratio , placebo , cholesterol , cardiology , ischemic stroke , ischemia , confidence interval , mechanical engineering , alternative medicine , pathology , engineering
The intention-to-treat analysis of data from the placebo-controlled Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) trial found 80 mg atorvastatin per day reduced the risk of stroke and major coronary events in patients with recent stroke or transient ischemic attack. This benefit was present despite only a 78% net difference in adherence to randomized treatment over the course of the trial. In this exploratory analysis, our aim was to evaluate the benefit and risks associated with achieving a >or=50% low-density lipoprotein cholesterol (LDL-C) reduction from baseline.

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