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Cardiovascular Trials Review Cardiovascular Trials Review - Diegori.it

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MIRACL<br />

Myocardial Ischemia Reduction w<strong>it</strong>h Aggressive Cholesterol<br />

Lowering (Substudy)<br />

T<strong>it</strong>le<br />

Authors<br />

Effects of atorvastatin on stroke in patients w<strong>it</strong>h unstable<br />

angina or non-Q-wave myocardial infarction.<br />

Waters DD, Schwartz GG, Olsson AG, et al.<br />

Reference Circulation 2002;106:1690–1695.<br />

Disease<br />

Purpose<br />

Design<br />

Patients<br />

Follow-up<br />

Regimen<br />

Hypercholesterolemia; unstable angina, non-Q-wave<br />

myocardial infarction; stroke.<br />

To determine whether aggressive lowering of lipid levels<br />

w<strong>it</strong>h a statin reduces the incidence of nonfatal stroke<br />

in patients who have had an acute coronary syndrome.<br />

Substudy of a randomized, placebo-controlled trial.<br />

As per MIRACL.<br />

16 weeks.<br />

Patients were randomized to atorvastatin (n=1538)<br />

80mg/d or placebo (n=1548) for 16 weeks. All patients<br />

were counseled on adherence to the National Cholesterol<br />

Education Program Step I diet.<br />

Section 8<br />

8. Lipid-Lowering Studies<br />

839

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