← Other lipid agents × cardiovascular events

TrialCirculation journal : official journal of the Japanese Circulation Society2009

Incremental effects of eicosapentaenoic acid on cardiovascular events in statin-treated patients with coronary artery disease.

Masunori Matsuzaki et al.PubMed ↗Publisher ↗

  • 1,800 mg of EPA + statinlooks good hereFewer major coronary events.Weak evidence: one subgroup.

What the trial testedrandomised · 1,050 people · 2009

One subgroup

May have reduced major coronary events in patients with prior myocardial infarction (MI)

−27%−46% to −2%

1,800 mg of EPA + statin vs statin alone, in patients with prior myocardial infarction (MI)

Bigger than 6 in 10 for cardiovascular events

As reported

HR 0.73, 95% CI 0.54–0.98

Not counted

Reduced major coronary events

−23%−37% to −4%

1,800 mg of EPA + statin vs statin alone

Bigger than 5 in 10 for cardiovascular events

As reported

HR 0.77, 95% CI 0.63–0.96

+2 more in the walkthrough ↓

Who was studied, and how

1,050people with cardiovascular disease, in this paper

The trial randomly assignedassigned by chance

1,800 mg of EPA + statin
statin alone

Reduced major coronary events−23%

randomised

Among patients with prior myocardial infarction (MI), the trial randomly assignedassigned by chance

1,800 mg of EPA + statin
statin alone

May have reduced major coronary events−27%

randomised · one subgroup

the abstract, start to end

… (8.7% vs 10.7%, adjusted hazard ratio =0.77, 95% confidence interval (CI) 0.63-0.96, P=0.017, number needed to treat (NNT) =49).

… group (20.1%, adjusted hazard ratio =0.73, 95%CI 0.54-0.98, P=0.033, NNT =19).

← favours treatmentfavours comparator →
could be chance
No interval given · direction only, strength unknown
Major coronary events (MCE)1,800 mg of EPA + statin vs statin alone
HR 0.770.63–0.96
Major coronary events (MCE)1,800 mg of EPA + statin vs statin alone
NNT 49
Major coronary events (MCE)1,800 mg of EPA + statin vs statin alone, in patients with prior myocardial infarction (MI)
HR 0.730.54–0.98
Major coronary events (MCE)1,800 mg of EPA + statin vs statin alone, in patients with prior myocardial infarction (MI)
NNT 19
StatinsOther lipid agentsCardiovascular events

Other lipid agents × cardiovascular eventshelps?settled

unlikelylikely
0.800.50 without it

Statins × cardiovascular eventshelps?replicated

unlikelylikely
0.860.85 without it
← favours treatmentfavours comparator →
this papermore certainless certain
1 / 7

50 papers cite it

2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
this paperpooled ittrialcites it
Full record →Abstract, authors, funding and every citing paper · PMID 19423946