Evidence map›Paper›PMID 37934798›Full record

SynthesisRevista medica del Instituto Mexicano del Seguro Social2023

[Efficacy and safety of atorvastatin in major cardiovascular events: Meta-analysis].

Víctor Eder Villegas-Quintero, Rodolfo Rivas-Ruíz, Alexis Alejandro García-Rivero, Pedro Rivera-Lara, Nelly Berenice González-Tovar

Open access · greenAbstract readEnglish AbstractMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Revista medica del Instituto Mexicano del Seguro Social, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. [Anatomy of the Forest Plot graphic].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Víctor Eder Villegas-QuinteroInstituto Mexicano del Seguro Social, Coordinación de Investigación en Salud, Centro de Adiestramiento en investigación Clínica. Ciudad de México, México.ORCID 0000-0002-9282-9531
Rodolfo Rivas-RuízInstituto Mexicano del Seguro Social, Coordinación de Investigación en Salud, Centro de Adiestramiento en investigación Clínica. Ciudad de México, México.ORCID 0000-0002-5967-7222
Alexis Alejandro García-RiveroInstituto Mexicano del Seguro Social, Coordinación de Investigación en Salud, Centro de Adiestramiento en investigación Clínica. Ciudad de México, México.ORCID 0000-0002-6678-8115
Pedro Rivera-LaraInstituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Cardiología, Servicio de Urgencias. Ciudad de México, México.ORCID 0000-0002-4877-1678
Nelly Berenice González-TovarInstituto Mexicano del Seguro Social, Centro Médico la Raza, Hospital de Especialidades, Servicio de Urgencias. Ciudad de México, México.ORCID 0000-0002-2959-7643
Mexican Social Security Institute · MXCentro Medico Nacional Siglo XXI · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Atorvastatin has been used in the management of dyslipidemia and little is known about the efficacy and safety of high-dose atorvastatin administration for secondary prevention of Major Cardiovascular Events (MACE). Objective: To evaluate the impact of high-dose atorvastatin on secondary prevention of MACE and adverse events. Material and methods: A systematic review and meta-analysis of Pubmed, Embase, Bireme and Cochrane Library Plus databases was performed, with a time scope from 1990 to July 2022. Six randomized clinical trials were included with a total of 29,333 patients who were treated with 80 mg, 10 mg or placebo doses of Atorvastatin where the main outcomes evaluated were Major Cardiovascular Events (MACE), mortality and treatment safety. Results: In the comparative study between the use of Atorvastatin 80 mg and other therapies, a relative risk (RR) of 0.8 (95%CI 0.69-0.92) was found, representing a 20% reduction in risk (RRR) and a number needed to treat (NNT) of 30-55. In the analysis of adverse effects, an RR of 2.37 (95% CI 0.86-6.53) and a number needed to harm (NNH) of 14-19 were observed. The use of 80 mg atorvastatin is associated with similar adverse events at lower doses. Conclusions: The use of atorvastatin 80 mg is effective in the secondary prevention of Major Cardiovascular Event (MACE). The drug has adverse events that should be taken into account in secondary prevention.

Indexed as

Cardiovascular DiseasesAtorvastatinHumansAtorvastatinAtorvastatinAtorvastatinaEfficacyEficaciaFactores de Riesgo de Enfermedad CardiacaHeart Disease Risk FactorsMetaanálisisMeta-AnalysisSafetySeguridad

Identifiers

PMID37934798
PMCPMC10735271
OpenAlexW4388500676

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.