Cardiovascular Benefits of Icosapent Ethyl in Patients With and Without Atrial Fibrillation in REDUCE‐IT Article Swipe
YOU?
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· 2023
· Open Access
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· DOI: https://doi.org/10.1161/jaha.121.026756
Background In REDUCE‐IT (Reduction of Cardiovascular Events With Icosapent Ethyl–Intervention Trial), icosapent ethyl (IPE) versus placebo) reduced cardiovascular death, myocardial infarction, stroke, coronary revascularization, or unstable angina requiring hospitalization, but was associated with increased atrial fibrillation/atrial flutter (AF) hospitalization (3.1% IPE versus 2.1% placebo; P =0.004). Methods and Results We performed post hoc efficacy and safety analyses of patients with or without prior AF (before randomization) and with or without in‐study time‐varying AF hospitalization to assess relationships of IPE (versus placebo) and outcomes. In‐study AF hospitalization event rates were higher in patients with prior AF (12.5% versus 6.3%, IPE versus placebo; P =0.007) versus without prior AF (2.2% versus 1.6%, IPE versus placebo; P =0.09). Serious bleeding rates trended higher in patients with (7.3% versus 6.0%, IPE versus placebo; P =0.59) versus without prior AF (2.3% versus 1.7%, IPE versus placebo; P =0.08). With IPE, serious bleeding trended higher regardless of prior AF (interaction P value [ P int ]=0.61) or postrandomization AF hospitalization ( P int =0.66). Patients with prior AF (n=751, 9.2%) versus without prior AF (n=7428, 90.8%) had similar relative risk reductions of the primary composite and key secondary composite end points with IPE versus placebo ( P int =0.37 and P int =0.55, respectively). Conclusions In REDUCE‐IT, in‐study AF hospitalization rates were higher in patients with prior AF especially in those randomized to IPE. Although serious bleeding trended higher in those randomized to IPE versus placebo over the course of the study, serious bleeding was not different regardless of prior AF or in‐study AF hospitalization. Patients with prior AF or in‐study AF hospitalization had consistent relative risk reductions across primary, key secondary, and stroke end points with IPE. Registration URL: https://clinicaltrials.gov/ct2/show/NCT01492361 ; Unique Identifier: NCT01492361
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1161/jaha.121.026756
- OA Status
- gold
- Cited By
- 23
- References
- 45
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4321455716
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4321455716Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1161/jaha.121.026756Digital Object Identifier
- Title
-
Cardiovascular Benefits of Icosapent Ethyl in Patients With and Without Atrial Fibrillation in REDUCE‐ITWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-02-21Full publication date if available
- Authors
-
Brian Olshansky, Deepak L. Bhatt, Michael Miller, Philippe Gabríel Steg, Eliot A. Brinton, Terry A. Jacobson, Steven B. Ketchum, Ralph T. Doyle, Rebecca A. Juliano, Lixia Jiao, Peter R. Kowey, James A. Reiffel, Jean‐Claude Tardif, Christie M. Ballantyne, Mina K. ChungList of authors in order
- Landing page
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https://doi.org/10.1161/jaha.121.026756Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1161/jaha.121.026756Direct OA link when available
- Concepts
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Medicine, Atrial fibrillation, Placebo, Myocardial infarction, Internal medicine, Cardiology, Unstable angina, Stroke (engine), Atrial flutter, Coronary artery disease, Randomization, Randomized controlled trial, Post-hoc analysis, Pathology, Engineering, Alternative medicine, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
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23Total citation count in OpenAlex
- Citations by year (recent)
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2025: 8, 2024: 12, 2023: 3Per-year citation counts (last 5 years)
- References (count)
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45Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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