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J Am Coll Cardiol, 2008; 51:828-835, doi:10.1016/j.jacc.2007.09.063
© 2008 by the American College of Cardiology Foundation
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Antiarrhythmic Effect of Statin Therapy and Atrial Fibrillation

A Meta-Analysis of Randomized Controlled Trials

Laurent Fauchier, MD, PhD*, Bertrand Pierre, MD, Axel de Labriolle, MD, Caroline Grimard, MD, Noura Zannad, MD and Dominique Babuty, MD, PhD

Cardiologie, Centre Hospitalier Universitaire Trousseau, Tours, France.


Figure 1
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Figure 1 Selection Process for Randomized Controlled Trials on Statin and AF

AF = atrial fibrillation.

 

Figure 2
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Figure 2 Funnel Plot of the Meta-Analysis

Review: statins versus placebo or control regimen for the end point of first episode (new-onset or post-operative) or recurrence of atrial fibrillation (AF). Funnel plot allows assessment of publication bias. Bias is suspected if the plots are asymmetric on each side of the dashed line. Present plot shows no clear evidence of bias. OR = odds ratio.

 

Figure 3
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Figure 3 Effect of Statins on the Occurrence of AF

Effect of statins versus placebo or control regimen on the occurrence of all types of atrial fibrillation (AF) (i.e., first episode or recurrence of AF, top panel), primary prevention of AF (new-onset or post-operative AF, middle panel), or prevention of recurrence of AF (lower panel). MIRACL 1 and 2 indicate the effect of statin in subgroups of patients in the MIRACL study without or with a previous AF, respectively. CI = confidence interval; OR = odds ratio.

 

Figure 4
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Figure 4 Effect of Atorvastatin on the Occurrence of AF

Effect of atorvastatin versus placebo or control regimen on the occurrence of first AF episode (new-onset or post-operative AF) or recurrence of AF. Abbreviations as in Figure 3.

 

Figure 5
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Figure 5 Effect of Statins on the Occurrence of AF in Studies Published in Full Text Form and in Studies With Jadad Score ≥3

Effect of statins versus placebo or control regimen on the occurrence of first AF episode (new-onset or postoperative AF) or recurrence of AF. Odds ratio for occurrence of AF in studies published in full text form is on the top panel and OR in studies with Jadad score ≥3 is on the lower panel. Jadad score ≥3 indicates that studies with a lower methodological quality were excluded from the analysis. Abbreviations as in Figure 3.

 




 
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