Abstract

To the Editor: In their report on a trial of low-dose colchicine (LoDoCo2) in patients with chronic coronary disease, Nidorf et al. (Nov. 5 issue)1 found that those who received colchicine had a 31% lower risk of adverse cardiovascular events than those who received placebo (hazard ratio, 0.69; 95% confidence interval [CI], 0.57 to 0.83). This finding supports the role of inflammation as a key mediator in the development of cardiovascular disease. In one prespecified subgroup analysis, we noticed an interesting interaction showing a greater treatment effect among the patients in Australia than among those in the Netherlands (hazard ratios .

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