| Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc |
| Journal website https://cr.elmerpub.com |
Original Article
Volume 17, Number 2, April 2026, pages 120-127
Prevention of Cardiovascular Disease and Cancer Through Early Statin Treatment in Advanced Atherosclerosis: An Observational Study
Tables
| Characteristics | Male, type I, IIa, IIb, IVa | Male, type III, IVb | P value | Female, type I, IIa, IIb, IVa | Female type III, IVb | P value |
|---|---|---|---|---|---|---|
| The mean values with the standard deviations or the percentages are shown. at-test; bχ2 test; cFish’s exact test. BMI: body mass index; CABG: coronary artery bypass grafting; CVD: cardiovascular disease; DBP: diastolic blood pressure; HDL: high-density lipoprotein; LDL: low-density lipoprotein; MACE: major adverse cardiovascular event; PTCA: percutaneous transluminal coronary angioplasty; SBP: systolic blood pressure; Min: minimum; Max: maximum. | ||||||
| N | 2,097 | 415 | 1,737 | 91 | ||
| Age | 48 ± 6 | 54 ± 6 | < 0.0001a | 48 ± 7 | 53 ± 6 | < 0.0001a |
| Body mass index (BMI), kg/m2 | 27.31 ± 4.36 | 27.93 ± 3.81 | 0.004a | 25.19 ± 4.68 | 25.29 ± 4.3 | 0.834a |
| Current smoker | 473 (22.6%) | 189 (45.5%) | < 0.0001a | 357 (20.0%) | 45 (49.5%) | < 0.0001a |
| LDL cholesterol, mg/dL | 149 ± 52 | 159 ± 32 | < 0.0001a | 141 ± 33 | 157 ± 38 | 0.0007a |
| HDL cholesterol, mg/dL | 51 ± 12 | 48 ± 10 | 0.0004a | 65 ± 15 | 62 ± 16 | 0.095a |
| Triglycerides, mg/dL | 168 ± 123 | 196 ± 126 | 0.0001a | 109 ± 58 | 135 ± 62 | 0.0019a |
| SBP, mm Hg | 127 ± 15 | 135 ± 20 | < 0.0001a | 121 ± 16 | 129 ± 20 | < 0.0001a |
| DBP, mm Hg | 81 ± 8 | 84 ± 10 | < 0.0001a | 78 ± 9 | 79 ± 14 | 0.181a |
| Diabetes mellitus | 65 (3.1%) | 35 (8.4%) | < 0.0001b | 25 (1.4%) | 5 (5.5%) | 0.0145c |
| Antihypertensive therapy | 384 (18.3%) | 142 (34.2%) | < 0.0001a | 280 (16.1%) | 38 (41.8%) | < 0.0001b |
| Positive family history | 448 (21.4%) | 116 (28.0%) | 0.006a | 478 (27.5%) | 40 (44.0%) | < 0.0001b |
| Tot plaque area (TPA), mm2 | 29 ± 61 | 149 ± 65 | < 0.0001a | 17 ± 24 | 119 ± 55 | < 0.0001a |
| Plaque thickness (Max), mm | 1.7 ± 0.7 | 2.9 ± 0.7 | < 0.0001a | 1.6 ± 0.4 | 3.1 ± 0.6 | < 0.0001a |
| Event (MACE, CABG, PTCA) | 34 (1.6%) | 124 (29.9%) | < 0.0001b | 3 (0.2%) | 9 (9.9%) | < 0.0001c |
| Event MACE | 21 (1.0%) | 69 (16.6%) | < 0.0002b | 2 (0.1%) | 5 (5.5%) | < 0.0001c |
| Carcinoma | 26 (1.2%) | 26 (6.3%) | < 0.0001b | 15 (0.9%) | 4 (4.4%) | 0.013c |
| Death, all-cause | 15 (0.7%) | 42 (10.1%) | < 0.0001b | 4 (0.2%) | 1 (1.1%) | 0.225c |
| Death, CVD | 2 (0.1%) | 22 (5.3%) | < 0.0001c | 1 (0.07%) | 0 | 1c |
| Death, carcinoma | 5 (0.2%) | 15 (3.6%) | < 0.0001c | 1 (0.07%) | 1 (1.1%) | 0.0097c |
| Follow-up month (Min–Max) | 87 (2–195) | 80 (2–176) | 0.002a | 79 (2–186) | 78 (2–163) | 0.805a |
| Characteristics | Male, type III, IVb without statin therapy | Male, type III, IVb with statin therapy | P value |
|---|---|---|---|
| The mean values with the standard deviations or the percentages are shown. at-test; bχ2 test; cFish’s exact test. BMI: body mass index; CABG: coronary artery bypass grafting; CVD: cardiovascular disease; DBP: diastolic blood pressure; HDL: high-density lipoprotein; LDL: low-density lipoprotein; MACE: major adverse cardiovascular event; PTCA: percutaneous transluminal coronary angioplasty; SBP: systolic blood pressure; Min: minimum; Max: maximum. | |||
| N | 266 | 149 | |
| Age | 53 ± 6 | 54 ± 6 | 0.056a |
| Body mass index (BMI), kg/m2 | 27.60 ± 3.81 | 28.20 ± 4.31 | 0.144a |
| Current smoker | 129 (48.5%) | 60 (40.3%) | 0.123b |
| LDL cholesterol, mg/dL | 157 ± 32 | 161 ± 49 | 0.351a |
| HDL cholesterol, mg/dL | 49 ± 10 | 47 ± 11 | 0.254a |
| Triglycerides, mg/dL | 197 ± 126 | 193 ± 127 | 0.789a |
| SBP, mm Hg | 134 ± 20 | 133 ± 15 | 0.478a |
| DBP, mm Hg | 84 ± 10 | 82 ± 8 | 0.014a |
| Diabetes mellitus | 20 (7.6%) | 15 (10.0%) | 0.364b |
| Antihypertensive therapy | 75 (28.2%) | 67 (45.0%) | 0.0006b |
| Positive family history | 76 (28.6%) | 40 (26.8%) | 0.707b |
| Tot plaque area (TPA), mm2 | 146 ± 65 | 152 ± 59 | 0.229a |
| Plaque thickness (Max), mm | 2.9 ± 0.7 | 3.0 ± 0.8 | 0.151a |
| Event (MACE, CABG, PTCA) | 100 (37.6%) | 24 (16.1%) | < 0.0001b |
| Event MACE | 59 (22.2%) | 10 (6.7%) | < 0.0001b |
| Carcinoma | 23 (8.6%) | 3 (2.0%) | 0.0059c |
| Death, all-cause | 33 (12.4%) | 9 (6.0%) | 0.042c |
| Death, CVD | 18 (6.8%) | 4 (2.7%) | 0.108c |
| Death, carcinoma | 13 (4.9%) | 2 (1.3%) | 0.097c |
| Follow-up month (Min–Max) | 75 (2–176) | 88 (3–170) | 0.001a |
| Characteristics | Female type III, IVb without statin therapy | Female type III, IVb with statin therapy | P value |
|---|---|---|---|
| The mean values with the standard deviations or the percentages are shown. at-test; bχ2 test; cFish’s exact test. BMI: body mass index; CABG: coronary artery bypass grafting; CVD: cardiovascular disease; DBP: diastolic blood pressure; HDL: high-density lipoprotein; LDL: low-density lipoprotein; MACE: major adverse cardiovascular event; PTCA: percutaneous transluminal coronary angioplasty; SBP: systolic blood pressure; Min: minimum; Max: maximum. | |||
| N | 54 | 37 | |
| Age | 52 ± 6 | 55 ± 6 | 0.052a |
| Body mass index (BMI), kg/m2 | 25.30 ± 4.3 | 25.27 ± 5.3 | 0.978a |
| Current smoker | 26 (48.1%) | 19 (51.4%) | 0.764b |
| LDL cholesterol, mg/dL | 158 ± 38 | 156 ± 43 | 0.816a |
| HDL cholesterol, mg/dL | 64 ± 16 | 60 ± 12 | 0.246a |
| Triglycerides, mg/dL | 129 ± 62 | 143 ± 79 | 0.372a |
| SBP, mm Hg | 132 ± 20 | 126 ± 18 | 0.151a |
| DBP, mm Hg | 81 ± 14 | 79 ± 8 | 0.153a |
| Diabetes mellitus | 2 (3.7%) | 3 (8.1%) | 0.393c |
| Antihypertensive therapy | 20 (37.0%) | 18 (48.6%) | 0.269b |
| Positive family history | 26 (48.1%) | 14 (37.8%) | 0.33b |
| Tot plaque area (TPA), mm2 | 112 ± 55 | 129 ± 72 | 0.208a |
| Plaque thickness (Max), mm | 3.1 ± 0.6 | 3.1 ± 0.6 | 0.996a |
| Event (MACE, CABG, PTCA) | 8 (14.8%) | 1 (2.7%) | 0.077c |
| Event MACE | 4 (7.4%) | 1 (2.7%) | 0.644c |
| Carcinoma | 4 (7.4%) | 0 | 0.143c |
| Death, all-cause | 1 (1.7%) | 0 | 1c |
| Death CVD | 0 | 0 | 1c |
| Death carcinoma | 1 (1.7%) | 0 | 1c |
| Follow-up month (Min–Max) | 71 (2–163) | 89 (5–161) | 0.027a |
| Characteristics | Male, type I, IIa, IIb, IVa | Male, type III, IVb without statin therapy | P value |
|---|---|---|---|
| The mean values with the standard deviations or the percentages are shown. at-test; bχ2 test; cFish’s exact test. BMI: body mass index; CABG: coronary artery bypass grafting; CVD: cardiovascular disease; DBP: diastolic blood pressure; HDL: high-density lipoprotein; LDL: low-density lipoprotein; MACE: major adverse cardiovascular event; PTCA: percutaneous transluminal coronary angioplasty; SBP: systolic blood pressure; Min: minimum; Max: maximum. | |||
| N | 2,097 | 266 | |
| Age | 48 ± 6 | 53 ± 6 | < 0.0001a |
| Body mass index (BMI), kg/m2 | 27.31 ± 4.36 | 27.60 ± 3.81 | 0.134a |
| Current smoker | 473 (22.6%) | 129 (48.5%) | < 0.00001b |
| LDL cholesterol, mg/dL | 149 ± 52 | 157 ± 32 | 0.0001a |
| HDL cholesterol, mg/dL | 51 ± 12 | 49 ± 10 | 0.018a |
| Triglycerides, mg/dL | 168 ± 123 | 197 ± 126 | 0.0008a |
| SBP, mm Hg | 127 ± 15 | 134 ± 20 | < 0.00001a |
| DBP, mm Hg | 81 ± 8 | 84 ± 10 | < 0.00001a |
| Diabetes mellitus | 65 (3.1%) | 20 (7.6%) | 0.0002b |
| Antihypertensive therapy | 384 (18.3%) | 75 (28.2%) | 0.0001b |
| Positive family history | 448 (21.4%) | 76 (28.6%) | 0.0077b |
| Tot plaque area (TPA), mm2 | 29 ± 61 | 146 ± 65 | < 0.00001a |
| Plaque thickness (Max), mm | 1.7 ± 0.7 | 2.9 ± 0.7 | < 0.00001a |
| Event (MACE, CABG, PTCA) | 34 (1.6%) | 100 (37.6%) | < 0.0001b |
| Event MACE | 21 (1.0%) | 59 (22.2%) | < 0.0001b |
| Carcinoma | 26 (1.2%) | 23 (8.6%) | < 0.0001b |
| Death, all-cause | 15 (0.7%) | 33 (12.4%) | < 0.0001b |
| Death, CVD | 2 (0.1%) | 18 (6.8%) | < 0.0001c |
| Death, carcinoma | 5 (0.2%) | 13 (4.9%) | < 0.0001c |
| Follow-up month (Min–Max) | 87 (2–195) | 75 (2–176) | < 0.00001a |
| Characteristics | Female, type I, IIa, IIb, IVa | Female type III, IVb without statin therapy | P value |
|---|---|---|---|
| The mean values with the standard deviations or the percentages are shown. at-test; bχ2 test; cFish’s exact test. BMI: body mass index; CABG: coronary artery bypass grafting; CVD: cardiovascular disease; DBP: diastolic blood pressure; HDL: high-density lipoprotein; LDL: low-density lipoprotein; MACE: major adverse cardiovascular event; PTCA: percutaneous transluminal coronary angioplasty; SBP: systolic blood pressure; Min: minimum; Max: maximum. | |||
| N | 1,737 | 54 | |
| Age | 48 ± 7 | 52 ± 6 | 0.0443a |
| Body mass index (BMI), kg/m2 | 25.19 ± 4.68 | 25.30 ± 4.3 | 0.843a |
| Current smoker | 357 (20.0%) | 26 (48.1%) | < 0.00001b |
| LDL cholesterol, mg/dL | 141 ± 33 | 158 ± 38 | 0.0043a |
| HDL cholesterol, mg/dL | 65 ± 15 | 64 ± 16 | 0.583a |
| Triglycerides, mg/dL | 109 ± 58 | 129 ± 62 | 0.045a |
| SBP, mm Hg | 121 ± 16 | 132 ± 20 | 0.0001a |
| DBP, mm Hg | 78 ± 9 | 81 ± 14 | 0.0015a |
| Diabetes mellitus | 25 (1.4%) | 2 (3.7%) | 0.194c |
| Antihypertensive therapy | 280 (16.1%) | 20 (37.0%) | < 0.0001b |
| Positive family history | 478 (27.5%) | 26 (48.1%) | 0.0009b |
| Tot plaque area (TPA), mm2 | 17 ± 24 | 112 ± 55 | < 0.0001a |
| Plaque thickness (Max), mm | 1.6 ± 0.4 | 3.1 ± 0.6 | < 0.0001a |
| Event (MACE, CABG, PTCA) | 3 (0.2%) | 8 (14.8%) | < 0.0001c |
| Event MACE | 2 (0.1%) | 4 (7.4%) | < 0.0001c |
| Carcinoma | 15 (0.9%) | 4 (7.4%) | 0.002c |
| Death, all-cause | 4 (0.2%) | 1 (1.9%) | 0.1421c |
| Death, CVD | 1 (0.07%) | 0 | 1c |
| Death, carcinoma | 1 (0.07%) | 1 (1.9%) | 0.059c |
| Follow-up month (Min–Max) | 79 (2–186) | 71 (2–163) | 0.152a |
| Characteristics | Male type I, IIa, IIb, IVa, IVb with statin therapy | Male type I, IIa, IIb, IVa, IVb without statin therapy | P value |
|---|---|---|---|
| aχ2 test; bFish’s exact test. CVD: cardiovascular disease. | |||
| N | 2,246 | 2,363 | |
| Death, all-cause | 24 (01.1%) | 48 (2.0%) | 0.0084a |
| Death, CVD | 6 (0.3%) | 20 (0.8%) | 0.0097b |
| Death, carcinoma | 7(0.3%) | 18 (0.8%) | 0.0444b |
| Characteristics | Women type I, IIa, IIb, IVa, IVb with statin therapy | Women type I, IIa, IIb, IVa, IVb without statin therapy | P value |
|---|---|---|---|
| aFish’s exact test. CVD: cardiovascular disease. | |||
| N | 1,774 | 1,791 | |
| Death, all-cause | 4 (0.2%) | 5 (0.3%) | 1a |
| Death CVD | 1 (0.3%) | 1 (0.06%) | 1a |
| Death carcinoma | 1 (0.3%) | 1 (0.06%) | 1a |