Baseline characteristics in the Collaborative AtoRvastatin Diabetes Study (CARDS) in patients with Type 2 diabetes

CARDS Investigators, M J Thomason, H M Colhoun, S J Livingstone, M I Mackness, D J Betteridge, P N Durrington, G A Hitman, H A W Neil, J H Fuller

Research output: Contribution to journalArticlepeer-review

Abstract

AIM: To describe baseline characteristics of patients in the Collaborative AtoRvastatin Diabetes Study (CARDS), a randomized, placebo-controlled trial of lipid lowering with atorvastatin 10 mg daily for the primary prevention of major cardiovascular events in patients with Type 2 diabetes.

METHODS: The main eligibility criteria were Type 2 diabetes, age 40-75 years, no previous history of coronary heart disease, stroke or other major cardiovascular events, a documented history of at least one of retinopathy, micro- or macroalbuminuria, hypertension or current smoking, LDL-cholesterol < or = 4.14 mmol/l and triglycerides < or = 6.78 mmol/l.

RESULTS: Randomization of 2838 persons (909 women) into CARDS was completed in June 2001. At entry, mean age was 62 years, 12% were over 70 years old and median duration of diabetes was 6 years. Median fasting lipid levels were total cholesterol 5.4 mmol/l, LDL-cholesterol 3.1 mmol/l, HDL-cholesterol 1.4 mmol/l and triglyceride 1.7 mmol/l. There was a documented history of retinopathy in 30% of patients, micro/macroalbuminuria in 11% (additionally 17% had micro/macroalbuminuria based on two elevated pretreatment measurements of albumin-creatinine ratios), hypertension in 79% and 23% were current smokers.

CONCLUSION: CARDS will contribute importantly to the evidence for the macrovascular and microvascular benefits of lipid lowering with atorvastatin in patients with Type 2 diabetes. The results are likely to have important implications for the management of patients.

Original languageEnglish
Pages (from-to)901-5
Number of pages5
JournalDiabetic Medicine
Volume21
Issue number8
DOIs
Publication statusPublished - Aug 2004

Keywords

  • Adult
  • Aged
  • Anticholesteremic Agents
  • Atorvastatin Calcium
  • Cholesterol, HDL
  • Cholesterol, LDL
  • Coronary Disease
  • Diabetes Mellitus, Type 2
  • Diabetic Angiopathies
  • Female
  • Heptanoic Acids
  • Humans
  • Male
  • Middle Aged
  • Pyrroles
  • Triglycerides

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