None listed
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with ischemic stroke or transient ischemic attack confirmed by neuroimaging study 2. 19 years old or older 3. known or newly-documented high-risk cardioembolic source High-risk cardioembolic sources: atrial fibrillation, atrial flutter, mechanical prosthetic valve, left atrial or atrial appendage thrombus, sick sinus syndrome, left ventricular thrombus, dilated cardiomyopathy 4. no use of statin prior to the index stroke 5. no statin benefit group - statin benefit groups ? Clinical atherosclerotic cardiovascular disease (ASCVD): Acute coronary syndrome, history of myocardial infarction, stable or unstable angina or coronary or other arterial revascularization, stroke transient ischemic attack, or peripheral artery disease, aortic aneurysm, all of atherosclerotic origin ? Age 20-75y & Low density lipoprotein-cholesterol (LDL-C) =190mg/dl ? Age 40-75y & Diabetes & LDL-C 70-189mg/dl ? Age 40-75 & no diabetes & LDL-C 70-189mg/dl & 10y ASCVD risk =7.5% 6. patients signed informed consent
Exclusion criteria
Exclusion criteria: 1. abnormal liver function test (AST or ALT> 200 IU/L) 2. allergy or contraindication for statin 3. pregnancy or breast-feeding 4. participation to other randomized trial regarding drug for dyslipidemia 5. life expectancy - less than 6 months 6. taking prohibited medications ? other statin ? PCSK-9 inhibitor ? cyclosporin ? fenofibrate ? other drugs that might influence the efficacy of intervention drug
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| composite event (stroke recurrence, myocardial infaraction, all-cause death) | — |
Secondary
| Measure | Time frame |
|---|---|
| intracranial hemorrhage or symptomatic hemorrhagic transformation | — |
Countries
Korea, Republic of
Contacts
Seoul National University Bundang Hospital