Table 1. Clinical intervention studies in primary prevention of cardiovascular disease in elderly patients.
Study | N (% elderly) | Age range (yr) | Statin (dose) | Mean follow-up (yr) | Main results | NNT |
AFCAPS/TexCAPS[35] | 6,605 (21% > 65 yr) | 45−73 | Lovastatin (20−40 mg) | 5.2 | 37% reduction in non-fatal myocardial infarction, unstable angina and sudden death. | 49 |
ALLHAT-LLT[36] | 10,335 (50% > 65 yr) | ≥ 55 | Pravastatin (40 mg) | 4.8 | No significant reductions in mortality, coronary heart disease or stroke vs. usual care (4.8 years). | NS |
ASCOT-LLA[37] | 10,305 (64% > 60 yr) | 40−75 | Atorvastatin (10 mg) | 3.3 | 36% reduction in non-fatal myocardial infarction and coronary death. | 164 |
CARDS[38] | 2,838(40% > 65 yr) | 40−75 | Atorvastatin (10 mg) | 3.9 | 37% reduction in fatal and non-fatal myocardial infarction, coronary death, unstable angina, and revascularization. | 42 |
MEGA[39] | 7,832(70% > 55 yr) | 40−70 | Pravastatin (10−20 mg) | 5.0 | 31% reduction in coronary events. 32% reduction in total mortality. | 150 |
CHS[40] | 1,914 (100% > 65 yr) | > 65 | Statins | 7.3 | 44% reduction in all-cause mortality.56% reduction in cardiovascular disease. | 46 |
PROSPER[41] | 5,804 (100% > 70 yr) | 70−82 | Pravastatin (40 mg) | 3.2 | 15% reduction in coronary death, non-fatal myocardial infarction and stroke. | 59 |
JUPITER[42] | 17,802 (32% > 70 yr) | 60−71 | Rosuvastatin (20 mg) | 1.9 | 44% reduction in non-fatal myocardial infarction, cerebrovascular event, revascularization, coronary death and unstable angina. | 95 |
NNT: number needed to treat; NS: non significance.