First myocardial infarction

Disease

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  • Human trial1

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1

Evolocumab

downin humans1HR 0.64

1 study
  1. Evolocumab lowers the risk of first myocardial infarction in humans (36% risk reduction; HR 0.64, 95% CI 0.52–0.79; 5-year Kaplan-Meier incidence 2.7% vs 4.1%).

    “Evolocumab significantly reduced the risk of any MI by 36% compared with placebo”

    Human trialQualifying atherosclerosis or high-risk diabetes, no prior myocardial infarction or stroke, and LDL-C ≥90 mg/dL; compared with placebo on background optimized lipid-lowering therapyMedian follow-up of 4.6 yearsn = 12,257

    Evolocumab reduced first heart attacks in high-risk patients

    ESC Congress 2026 abstract

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ESC Congress 2026 Abstract

Evolocumab reduced first heart attacks in high-risk patients

Estimated five-year first heart attack rates were 2.7% with evolocumab and 4.1% with placebo, with a 36% relative reduction in risk.Estimated five-year first heart attack rates were 2.7% with evolocumab and 4.1% with placebo, with a 36% relative reduction in risk.

Randomized trial · 12,257 peopleEvolocumab
medRxiv

Social context predicts heart risks despite normal biomarkers

Below target cutoffs, participants with less favorable social context had cardiovascular event rates of 3.39 versus 1.68, 7.16 versus 2.05, and 8.67 versus 2.34 per 1,000…Below target cutoffs, participants with less favorable social context had cardiovascular event rates of 3.39 versus 1.68, 7.16 versus 2.05, and 8.67 versus 2.34 per 1,000 person-years.

Preprint: cohort study of 325,652 peoplePopulations

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