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烟酸无效吗?还是 AIM-HIGH 目标落空了?

Is niacin ineffective? Or did AIM-HIGH miss its target?

机构信息

Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, USA.

出版信息

Cleve Clin J Med. 2012 Jan;79(1):38-43. doi: 10.3949/ccjm.79a.11166.

DOI:10.3949/ccjm.79a.11166
PMID:22219232
Abstract

The AIM-HIGH trial (Atherothrombosis Intervention in Metabolic Syndrome With Low HDL/High Triglycerides: Impact on Global Health Outcomes) found, in an interim analysis, no cardiovascular benefit from taking extended-release niacin (Niaspan). In fact, there was a trend toward a greater risk of ischemic stroke, which did not reach statistical significance. But questions remain about this complex trial, which included intensive statin therapy in the active-treatment group and the control group.

摘要

AIM-HIGH 试验(代谢综合征伴低 HDL/高甘油三酯人群中的动脉粥样硬化血栓形成干预:对全球健康结局的影响)进行中期分析时发现,服用烟酸缓释剂(Niaspan)并不能带来心血管获益。事实上,缺血性卒中的风险呈增加趋势,但未达到统计学显著性。但是,对于这个包含强化他汀治疗的试验,仍存在一些疑问,该试验包括活性治疗组和对照组。

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