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. 2014 Sep 1;2014(9):CD006870. doi: 10.1002/14651858.CD006870.pub3

Shal'nev 2007.

Methods Design: single‐center randomized controlled trial
Setting: 1 center in Russia
Patient recruitment: unspecified
Blinding: none
Intention‐to‐treat: unclear
Follow‐up period: 6 months
Lost to follow‐up: 2 (2%)
Participants Number randomized: statin 55, control 53
Mean age (SD) in years: not available
Men, n (%): not available
Diabetes, n (%): not available
Hypertension, n (%): not available
Current smoker, n (%): not available
Prior myocardial infarction, n (%): not available
Index event, n (%):
  • Myocardial infarction: not available

  • Unstable angina: not available

  • Fibrinolysis therapy: not available

  • Percutaneous coronary intervention (PCI): not available


Inclusion criteria: patients with acute coronary syndrome (myocardial infarction or unstable angina)
Interventions Simvastatin 40 mg/d
Outcomes Primary: total death, unstable angina (hospitalized and non‐hospitalized), MI (acute and in later follow‐up)
Source Unspecified
Daily intervention Unspecified
Control Usual care
Notes Outcome data available at 6 months
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Sequence generation unspecified
Allocation concealment (selection bias) Unclear risk Unreported
Blinding (performance bias and detection bias) 
 All outcomes High risk No blinding of participants, caregivers, or outcome assessors
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 2% of participants lost to follow‐up
Selective reporting (reporting bias) Unclear risk Author contact failed; no study protocol available
Other bias Unclear risk Adherence to intention‐to‐treat not reported

ACE: angiotensin‐converting enzyme
 ACS: acute coronary syndrome
 AHA: American Heart Association
 ALT: aminotransferase
 CABG: coronary artery bypass grafting
 COPD: chronic obstructive pulmonary disease

CRP: C‐reactive protein
 d: day
 ECG: electrocardiogram
 IL‐6: interleukin‐6
 LDL: low‐density lipoprotein

MACE: major adverse cardiac event
 MI: myocardial infarction

NCEP: National Cholesterol Education Program
 PCI: percutaneous coronary intervention

UA: unstable angina