The meta-analysis, which included 41 clinical trials, revealed similar rates of ALS in the statin-treated and placebo-treated patients. The agency said further monitoring is still needed, however, because of the expansive use of the drugs and the dire consequences of this neurodegenerative disorder. (Colman E et al. Pharmacolepidemiol Drug Saf; published online September 29, 2008.)
Silver Springs, MD - A new Food and Drug Administration analysis has shown that statins do not increase the risk of amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig's disease [1].
The meta-analysis, which included 41 clinical trials and was published online September 29, 2008 in the journal of Pharmacoepidemiology and Drug Safety, revealed similar rates of ALS in the statin-treated and placebo-treated patients, but the agency says that caution is still needed because of the expansive use of the drugs and the dire consequences of this neurodegenerative disorder.Read full article »
(Colman E et al. Pharmacolepidemiol Drug Saf 2008; published online September 29, 2008.)
Inside: Lipid/Metabolic
Accredited educational programs, supported by industry, developed by theheart.org
Ongoing interest exists in developing new pharmacologic approaches to address obesity and its sequelae of metabolic risk. Can intravascular ultrasound help us determine if we are on the right track to decreasing atherosclerotic progression with drug therapies? Join us for an insightful interview with Dr. Nissen on the STRADIVARIUS results, the benefits of IVUS and ongoing research examining CB1 blockade and its potential ability to decrease atherosclerotic progression by impacting more than just LDL reduction.
Drs Smith, Rader, Nesto, Plutzky, Nemeroff, and Pagotto explore the interrelated role of cardiometabolic risk factors and analyze the mechanism of action and evidence for the effectiveness of cannabinoid receptor type 1 (CB1) blockade in CVD.
Join Drs Frank Sacks, Peter Jones and Theodore Mazzone as they discuss how the results of new clinical trials will affect the treatment of mixed dyslipidemia and reduce cardiovascular risk in patients with type 2 diabetes.
Join Drs Christie Ballantyne and Michael Davidson as they discuss the barriers to reaching target levels of all three key lipid components - LDL-C, HDL-C and triglycerides in the reduction of cardiovascular risk.
Is there a role for statin therapy in heart failure? Join Drs John JV McMurray , Michel White, Jonathan Howlett, and Robert McKelvie as they discuss new data from the GISSI-HF and CORONA trials.
Navigating the SEAS: Join Drs Fitchett and Chan as they present their views on the latest controversial findings from clinical on treating aortic stenosis with statins alone or in combination with ezetimibe.
Review data from recent trials on lipid-lowering agents, and evaluate this data within current lipid-lowering strategies to develop an evidence-based strategy for reducing CV risk in patients with hypercholesterolemia. Join Drs Davidson, Jones, and Radar.
Drs Eckel, Libby, Musselman, Nesto and Nissen review evidence concerning the role of the endocannabinoid system (ECS) in cardiometabolic risk and its management. They also analyze emerging therapies for cardiometabolic risk and obesity, including compounds directed at the ECS.
Which is the most important CV risk factor in controlling the progression of CVD? Click to take the survey and compare answers. The results will help us create future CME programming. This activity is part of an independent educational grant from Abbott.
Prospects for the drug were dim, with late-stage studies showing a significant increase in psychiatric and gastrointestinal side effects with the cannabinoid-receptor blocker.
A new Italian study has shown, for the first time, that consuming moderate amounts of dark chocolate can significantly reduce CRP levels. (di Giuseppe R et al. J Nutr 2008; 138:1939-1945.)
Despite meeting none of the primary end points in the three DIRECT studies in diabetic retinopathy, the angiotensin receptor blocker candesartan could still be considered a treatment option in certain patients with this condition, say the trial authors and accompanying editorialists. (Chaturvedi N et al. Sjølie AK et al. Lancet; published online before print September 25, 2008.)
A new study has found that older adults with severe subclinical hypothyroidism had almost double the risk of developing heart failure compared with those with normal thyroid function. The findings are important to inform the debate on whether to screen and treat subclinical hypothyroidism, say the researchers. (Rodondi N et al. J Am Coll Cardiol 2008; 52:1152-1159.)
In addition to laying out the sequence of events that led to the analysis of available cancer data, Peto's tersely worded response to the committee makes clear he is paid by Oxford University and not by the pharmaceutical companies that fund his research.
A new study has found that in patients with Fabry's disease, the extent of myocardial fibrosis at baseline is crucial in determining how well they will respond to enzyme-replacement therapy. (European Society of Cardiology Congress 2008.)
The chemical, found in innumerable consumer products, including baby bottles and CDs, has long been the focus of controversy regarding possible health effects. The current study is among the largest of its kind and may be the first to associate bisphenol A with chronic disease in humans (Lang IA et al. JAMA; published online before print September 16, 2008.)
Three small countriesLuxembourg, Norway, and Switzerlandhave emerged as the top nations for cardiac care in Europe in a new report. France comes a close fourth, scoring high on prevention. (European Society of Cardiology Congress 2008.)
Strictly following the diet reduces all-cause, cardiovascular, and cancer mortality and reduces the risk of developing Parkinson's and Alzheimer's disease. (Sofi F et al. BMJ 2008; 337:a1344.)
Diabetes experts witnessing the contest, held just miles from the ancient Roman Coliseum, declared lifestyle interventions the clear winner, on the grounds that they tackle the root cause, rather than the consequences, of glucose abnormalities. (European Association for the Study of Diabetes 2008 Meeting.)
Researchers say the launch of a new definition of metabolic syndrome may have been "premature." (European Association for the Study of Diabetes 2008 Meeting.)
Posttrial monitoring of patients who participated in the original UKPDS study indicates that early, aggressive lowering of glucose had protective effects, even 10 years after randomization ended. Early blood-pressure control, however, did not translate into reductions in macrovascular events and death over time. (European Association for the Study of Diabetes 2008 Meeting. Holman RR et al. N Engl J Med; published online before print September 10, 2008.)