American College of Cardiology 55th Annual Scientific Session March 11-14, Atlanta
March 13
Significant Reductions in Coronary Atherosclerosis with Rosuvastatin Intensive Therapy
March 13, Atlanta—The majority of patients in the ASTEROID trial had regression of atherosclerotic disease associated with a treatment regimen of rosuvastatin 40 mg daily. The intensive treatment was well tolerated, with liver function changes similar to those reported in previous trials with maximal doses of statins.
March 12, 2006, Atlanta—The 1-year findings from the REACH registry of 63,129 individuals in whom follow-up was completed showed a 3.5% event rate for cardiovascular death, myocardial infarction, stroke, even in stable patients, with or without a high risk of atherothrombosis, who were well-treated with contemporary therapies.
CHARISMA: Two Anti-platelet drugs beneficial in secondary prevention, harmful in primary prevention
The Clopidogrel for High Atherothrombotic Risk for Ischemic Stabilization, Management, and Avoidance (CHARISMA) trial showed no significant benefit for clopidogrel plus aspirin on clinical outcomes in the median 28-months follow-up in the 15,603 patients with either documented cardiovascular disease or multiple risk factors for atherosclerosis. The patients were randomized clopidogrel 75 mg daily or placebo, all patients received low-dose aspirin.
The Atorvastatin for Reduction of Myocardial Dysrhythmia After cardiac surgery (ARMYDA-3) study is the first randomized trial to indicate that pre-treatment with a statin reduces new onset post-operative atrial fibrillation (AF) in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB), independent of confounding factors.
Physical counterpressure maneuvers reduced the number of episodes of vasovagal syncope and reduced the prodrome in a small study conducted in The Netherlands. This should be “first-line therapy in every patient presenting with vasovagal syncope,” stated Nynke van Dijk, Academic Medical Center-University of Amsterdam.
March 14
TROPHY: Preventive treatment with candesartan beneficial in prehypertension patients
March 14, 2006, Atlanta—The Trial of Preventing Hypertension (TROPHY) showed a reduction in the risk of developing hypertension in study participants who were prehypertensive treated with candesartan compared to placebo. Dr. Stevo Julius presented the results of the TROPHY study at the American College of Cardiology meeting, held in Atlanta from March 11-14, 2006, and published simultaneously online by the New England Journal of Medicine.