Verified Document

Health Studypotential Sources Of Biasness Case Study

¶ … population? The study in question was a multinational PROBE classification trial (i.e., Prospective Randomized Open Blinded End-point) that covered multiple private specialist and ambulatory cardiology centers (190, to be precise). It represented a comprehensive report centered on baseline elements of those patients potentially requiring screening. The study population constituted males and females aged below 80 years with confirmed heart attack (myocardial infarction; MI) history, and eligible for statin medication (Pedersen et al., 2005).

What is the study sample?

Sample comprised patients who have suffered one or more heart attacks, and for whom intensive reduction in LDL-C (low-density lipoprotein cholesterol) levels did not appreciably decrease primary outcome of serious coronary incidents, but decreased risks of non-fatal acute myocardial infarction and other combined secondary end points. No difference was found in all-cause or cardiovascular mortality cases. MI patients might gain from intensive LDL-C lowering without a rise in risk of non-cardiovascular mortality, and other acute adverse results. In such cases, comparison of low and high atorvastatin dosages in non-acute stable coronary heart disease demonstrated a considerable improvement in cardiovascular disease prognosis. Also, in such cases, higher mortality from non-cardiovascular causes seemed to offset benefits of decreased cardiovascular mortality (Pedersen et al., 2005; Perk, 2007).

3. Identify...

Parts of this document are hidden

View Full Document
svg-one

Which are ordinal and which are nominal? Which are independent and which are dependent?
Identified statin contraindications, history of statin intolerance (in high as well as low quantities), levels of liver enzyme more than double the normal upper limit, breastfeeding or pregnancy, uncontrolled diabetes, nephrotic syndrome, uncontrolled hypothyroidism, heart failure (classification IIIB/IV of New York Heart Association), levels of plasma triglyceride >6.8 millimoles/liter (or 600 milligrams/deciliter), hemo-dynamically significant valvular heart issues, medications that severely impact statin's pharmacokinetics, therapy using lipid-reducing medication, and gastrointestinal conditions impacting drug absorption are key exclusion criteria. Ordinal patients were those prescribed 20 milligrams/day of simvastatin, or any other statin of equivalent amounts during randomization by which lipoprotein and lipid level changes for the overall group were small. Categorical or nominal patients belonged to the group prescribed 80 milligrams/day of atorvastatin. Mean LDL-C decrease in statin-naive study participants was 49%. Simvastatin therapy was estimated to bring about a meanLDL-C reduction of 35% from untreated LDL-C levels -- these are dependent. On the other hand, independent variable was atorvastatin-induced reduction (per day consumption=80 mg) would be a minimum of 55%, generating around 1 millimole/liter (40 milligram/deciliter) plasma level difference (Pedersen…

Sources used in this document:
References

Pedersen, T. R., Faergeman, O., Kastelein, J. J., Olsson, A. G., Tikkanen, M. J., Holme, I., ... & Incremental Decrease in End Points Through Aggressive Lipid Lowering (IDEAL)

Study Group, N. F. (2005). High-dose atorvastatin vs. usual-dose simvastatin for secondary prevention after myocardial infarction: the IDEAL study: a randomized controlled trial. Jama, 294(19), 2437-2445.

Perk, J. (2007). Cardiovascular prevention and rehabilitation. London: Springer
Cite this Document:
Copy Bibliography Citation

Related Documents

Myocardial Infarction According to the Centers for
Words: 744 Length: 2 Document Type: Research Paper

Myocardial Infarction According to the Centers for Disease Control and Prevention (CDC, 2006), each year approximately 1.2 million Americans suffer from myocardial infarction (heart attack) each year. 40% of these people who a have heart attack will die from it. This equates to a person having a heart attack every 34 seconds, and a person dying from a heart attack every minute. Heart disease is the leading cause of death in

Myocardial Infarction
Words: 870 Length: 3 Document Type: Term Paper

MI Case Study: Myocardial Infarction At 10:05 A.M., the blockage that had been silently growing in Paul Parker's left coronary artery made its sinister presence known. The 54-year-old accounting executive had arrived with his family at the Denver zoo feeling fine, but suddenly a dull ache started in the center of his chest and he became nauseated. At first he brushed it off as the aftereffects of a company dinner the night

Myocardial Infarction Risk for Women with Breast Cancer
Words: 1434 Length: 5 Document Type: Annotated Bibliography

Myocardial Infarction Risk for Women with Breast Cancer: Annotated Bibliography Abdel-Qadir, H., Amir, E., Fischer, H. D., Fu, L., Austin, P. C., Harvey, P. J., ... & Anderson, G. M. (2016). The risk of myocardial infarction with aromatase inhibitors relative to tamoxifen in post-menopausal women with early stage breast cancer. European Journal of Cancer, 68, 11-21. The rationale for this study was that a gap in the literature existed with respect to the possibility

Acute Myocardial Infarction Pathophysiological Process Template Disease:...
Words: 1549 Length: 5 Document Type: Case Study

Acute Myocardial Infarction PATHOPHYSIOLOGICAL PROCESS TEMPLATE DISEASE: Acute Myocardial Infarction is a common disease with very grave consequences in morbidity, mortality and cost to the society (Boersma et.al, 2003) It has become the leading cause of death in the developed world. It has been estimated that about 450,000 people die from coronary disease per year in the United States. Myocardial infarction primarily occurs when the blood supply to the heart is compromised. Just like

Health Care Services for Myocardial Infarction: Myocardial
Words: 2008 Length: 6 Document Type: Essay

Health Care Services for Myocardial Infarction: Myocardial Infarction (MI) is commonly known as Acute Myocardial Infarction (AMI) is a heart attack disease in which blood supply to a part of the heart is interrupted resulting in ultimate irreversible damage and cell death in that part of the heart (Khan, 2010). As one of cardiovascular diseases, myocardial infarction can be regarded as one of the leading causes of death for men

Aspirin for Acute Myocardial Infarction
Words: 13907 Length: 51 Document Type: Research Proposal

5% while 70.5% took Aspirin within six hours after reaching hospital and 76.5% of patients admitted in the NICVD were receiving Aspirin therapy." (Jaiwa, 2006, p.1) Jaiwa reports a more recent study that states findings that out of 52 patients with chest pain only 13 patients or 25% of the 52 received aspirin. The stated reason for not giving aspirin to the other 39 patients included that "chest pain was not

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now