Pharmacoeconomic evaluation of the effects of atorvastatin on early recurrent ischemic events in acute coronary syndromes

Am J Cardiol. 2003 Nov 1;92(9):1109-12. doi: 10.1016/j.amjcard.2003.06.009.

Abstract

An economic analysis was conducted using clinical outcomes in the MIRACL trial that evaluated high-dose atorvastatin versus placebo for 16 weeks after acute coronary syndrome. The direct cost of atorvastatin was largely offset by the associated decrease in cardiovascular events. The net incremental cost of atorvastatin treatment was 157 dollars/patient with a cost-effectiveness ratio of 4,086 dollars/event avoided.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Angina, Unstable / economics
  • Angina, Unstable / etiology
  • Angina, Unstable / prevention & control
  • Atorvastatin
  • Cost-Benefit Analysis
  • Economics, Pharmaceutical
  • Health Care Costs
  • Heptanoic Acids / administration & dosage
  • Heptanoic Acids / economics*
  • Heptanoic Acids / therapeutic use*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / administration & dosage
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / economics*
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Myocardial Infarction / economics
  • Myocardial Infarction / etiology
  • Myocardial Infarction / prevention & control
  • Myocardial Ischemia / complications
  • Myocardial Ischemia / economics
  • Myocardial Ischemia / prevention & control*
  • Pyrroles / administration & dosage
  • Pyrroles / economics*
  • Pyrroles / therapeutic use*
  • Secondary Prevention
  • Syndrome

Substances

  • Heptanoic Acids
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Pyrroles
  • Atorvastatin