期刊
CLINICAL CARDIOLOGY
卷 37, 期 6, 页码 337-342出版社
WILEY-BLACKWELL
DOI: 10.1002/clc.22255
关键词
-
资金
- Merck Co.
- Aastrom Biosciences
- Anthera Pharmaceuticals
- AstraZeneca Pharmaceuticals
- Bristol-Myers Squibb
- Cardiovascular Systems
- Centocor Research Development
- Edwards Lifesciences
- Eli Lilly
- Ethicon
- Johnson & Johnson Pharmaceutical Research Development
- Juventas Therapeutics
- KAI Pharmaceuticals
- Karo Bio
- Medtronic
- Novartis Pharmaceuticals
- Orexigen Therapeutics
- Pfizer
- Regado Biosciences
- Resverlogix
- Roche
- Sanofi
- Schering-Plough
- Scios
- Takeda Pharmaceuticals North America
- VIVUS
- Amarin
- AstraZeneca
- Eisai
- sanofi-aventis
- Athera Biotechnologies
- Boehringer-Ingelheim
- GlaxoSmithKline
- Abbott
- Merck/ScheringPlough
- Bristol-Myers Squibb/Pfizer
Background: The transition of patients with atherosclerotic vascular disease from the acute phase of the disease to the chronic stable atherosclerosis (CSA) phase has not been well characterized. We sought to compare ischemic and bleeding outcomes in hospitalized patients enrolled in clinical trials of non-ST-elevation acute coronary syndrome (ACS) with patients enrolled in outpatient trials of CSA. Hypothesis: The risk for recurrent events will differ between the 2 populations. Methods: Patient-level outcome data were evaluated from 3 consecutive trials of patients with ACS with long-term follow-up and 2 trials of patients with CSA. Kaplan-Meier curves were generated for ischemic and bleeding outcomes. Results: In total, 37 370 patients were included in these analyses. Of these, 28 489 (76.2%) were from ACS trials and 8881 (23.8%) from chronic trials. During the first year of follow-up, 1353 deaths, 1081 cardiovascular (CV) deaths, 2113 myocardial infarctions (MIs), and 397 strokes occurred across the trials. Six-month Kaplan-Meier event rates for CV death, MI, or stroke were higher in the ACS trials compared with the CSA trials (8.6% vs 2.7%), as were the 1-year CV death rate (3.6% vs 1.7%) and 1-year rates for GUSTO moderate or severe bleeding (6.0% vs 1.3%). Qualitatively, the Kaplan-Meier curves appear to show an early increased risk as well as a continued increased risk over time. Conclusions: Patients with ACS enrolled while in the hospital appear to have different risk profiles for ischemic and bleeding outcomes compared with outpatients enrolled with CSA, including those patients with ACS after the acute phase.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据