Patients with Ischemic Heart Disease Undergoing PCI
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1)Patients over 20 years old. (2)Patients with ischemic heart disease undergoing PCI. (3)Patients with LDL-Cholesterol over 70mg/dL. (4)The patients who give an informed consent in writing.
Exclusion criteria
Exclusion criteria: (1)Patients with acute myocardial infarction with ST segment elevation (2)Patients with non–ST segment elevation acute coronary syndrome with high-risk features warranting emergency coronary angiography (3) Patients with increased plasma liver enzymes(AST or ALT >= 100 IU/L) (4) Patients with left ventricular ejection fraction less than 30% (5) Patients with renal failure (creatinine >3 mg/dl) (6) Patients with a history of liver or muscle disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Major adverse cardiac events (MACE) (Cardiac death, nonfatal myocardial infarction, stroke, target vessel revascularization, slow flow during PCI) from the procedure up to 30 days. *myocardial infarction : increase of creatine kinase-MB > 2 times above the upper limit of normal. In patients with elevated baseline levels of creatine kinase-MB, myocardial infarction was defined as a subsequent increase of more than 2-fold in creatine kinase-MB from baseline value. *Slow flow :Decline of TIMI Grade more than 1 grade during PCI | — |
Secondary
| Measure | Time frame |
|---|---|
| (1)Any postprocedural increase of markers of myocardial injury above upper limits of normal (creatine kinase-MB, troponin-I). (2) The change from a baseline value of the following clinical markers (creatine kinase-MB, troponin-I, C-reactive protein, malondialdehyde-modified-LDL,LDL-C,HDL-C, apolipoprotein, oxidation stress ). blood sampling periods: (creatine kinase-MB, troponin-I, C-reactive protein);the day before PCI and at 8h and 24h and 30days after intervention. (malondialdehyde-modified-LDL); the day before PCI and at 24h after intervention. (LDL-C,HDL-C, apolipoprotein, oxidation stress); the day before PCI and at 24h and 30days after intervention. (3)The change of the platelet aggregation ability. blood sampling periods : the day before PCI and before PCI and at 24h and 30day after intervention. (4)Evaluation of the plaque by IVUS. (5)The patients with an additional written consent will be followed up for an additional year to investigate the incidence of MACE (primary end-point). | — |
Countries
Japan
Contacts
Ogaki Municipal Hospital Department of Cardiology