JPPP Low-dose aspirin for primary prevention of cardiovascular events in elderly patients with multiple atherosclerotic risk factors. A randomized control.

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Transcription de la présentation:

JPPP Low-dose aspirin for primary prevention of cardiovascular events in elderly patients with multiple atherosclerotic risk factors. A randomized control trial. Ikeda Y et al AHA 2014

NOM Objectif Evaluer l’aspirine comparée au placebo pour la prévention des évènements cardiovasculaires chez le sujet japonais âgé Etude Étude multicentrique, randomisée, double insu (n = 14464) Critères d’éligibilité Age ≥ 65 ans, HTA, DT2 et/ou dyslipidémie Méthodologie JPPP Ikeda Y et al AHA 2014

NOM Schéma de l’étude ≥ 65 ans HTA DT2 et/ou dyslipidémie ( n=14464) Aspirine 100 mg/j Critère de jugement principal Mortalité CV IDM non mortel AVC non mortel Placebo R Suivi médian: 5 ans Age moyen : 70 ans JPPP Ikeda Y et al AHA 2014

NOM Résultats 2,96% (0,49%/an) 2,77% (0,49%/an) p = 0,54 RR = 0,94 (IC 95% : 0,77 – 1,15) Aspirine 5 2, Temps (années) Taux d’évènements majeurs (%) placebo JPPP Ikeda Y et al AHA 2014

NOM Conclusion Aucun bénéfice d’une faible posologie d’aspirine en prévention des évènements cardiovasculaires chez le japonais ≥ 65 ans, HTA, DT2 JPPP Ikeda Y et al AHA 2014