Nephrol Dial Transplant (2004) 19: 528-531
Nephrol Dial Transplant Vol. 19 No. 3 (c) ERA-EDTA 2004; all rights reserved
Editorial Comment
Statins to prevent cardiovascular events in hypertensive patients. The ASCOT-LLA study
1Renal and Vascular Research Laboratory, Fundación Jiménez-Díaz (Autonoma University) and 2Cardiology Service, Gregorio Marañón General University Hospital, Madrid, Spain
Correspondence and offprint requests to: Professor Jesús Egido, Renal and Vascular Research Laboratory, Fundación Jimenez-Diaz. Avda Reyes Católicos, 2, 28040 Madrid, Spain. Email: jegido@fjd.es
Keywords: hypertension; primary prevention; statins
| The first 10% of the full text of this article appears below. |
| Introduction |
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The recently published Lipid-Lowering Arm of the Anglo-Scandinavian Cardiac Outcomes Study Trial (ASCOT-LLA) [1] provides interesting evidence for the use of statins in hypertensive patients with average cholesterol levels and other cardiovascular risk factors. In this study, 19 342 hypertensive patients with at least three other cardiovascular risk factors were randomized to two antihypertensive regimes (amlodipine and/or perindopril vs atenolol and/or clorthalidone) and were planned to be followed for 5 years.
The LLA was comprised of those patients with baseline total cholesterol levels
6.5 mmol/l (
260 mg/dl), who were also randomized to receive daily atorvastatin 10 mg vs placebo. A total of 10 305 patients entered in the LLA, which was stopped prematurely by the safety committee after a mean follow-up of only 3.3 years due to a significantly lower incidence of
| Comparison of the ASCOT-LLA trial with other major clinical statin trials |
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| Mechanisms involved in the benefit of statin treatment in hypertensive patients |
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| Unresolved issues in the ASCOT-LLA trial |
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