No connection between the level of exposition to statins in the population and the incidence/mortality of acute myocardial infarction: An ecological study based on Sweden's municipalities
2011

No Link Between Statin Use and Heart Attack Rates in Sweden

Sample size: 289 publication Evidence: low

Author Information

Author(s): Staffan Nilsson, Sigvard Mölstad, Catarina Karlberg, Jan-Erik Karlsson, Lars-Göran Persson

Primary Institution: Linköping University

Hypothesis

Is there a correlation between statin utilization and the incidence or mortality of acute myocardial infarction in Sweden's municipalities?

Conclusion

The study found no correlation between the increasing use of statins and the incidence or mortality of acute myocardial infarction.

Supporting Evidence

  • Statin utilization increased almost three times from 1998 to 2002.
  • AMI incidence decreased for men but only slightly for women during the same period.
  • Statin use showed no correlation with AMI mortality when adjusted for other factors.

Takeaway

Even though more people are taking statins, it doesn't seem to help reduce heart attacks in Sweden.

Methodology

The study analyzed data from 289 Swedish municipalities over a five-year period, examining statin utilization and AMI incidence and mortality.

Potential Biases

Potential ecological fallacy due to interpreting population-level data at the individual level.

Limitations

The study could not determine how much of the statins dispensed were actually consumed, and changes in diagnostic criteria for AMI limited comparisons.

Participant Demographics

Swedish population aged 40-79 years, with data collected from both men and women.

Statistical Information

P-Value

0.004

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1477-5751-10-6

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