Ischemic Stroke
Conditions
Keywords
stroke, brain ischemia, cerebrovascular accident, statin, hydroxymethylglutaryl-CoA Reductase Inhibitors, cholesterol, hypercholesterolemia, hyperlipidemia, multicenter studies, prospective studies, endpoint determination, randomized controlled trials, recurrence, pravastatin, plaque, tunica intima, tunica media, ultrasonography, carotid arteries
Brief summary
Carotid ultrasound can reveal the intima-media complex thickness(IMT), that has been reported to be a marker of atherosclerosis as well as a risk of cardiovascular events, and to be attenuated by 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) . This substudy of J-STARS will observe the temporal profile of carotid IMT prospectively in the patients with prescription of pravastatin and the control.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Ischemic stroke except for cardiogenic embolism, from 1 month to 3 years after onset * Hyperlipidemia and total cholesterol level of 180-240mg/dl without the prescription of statin within previous 30 days * Able to visit outpatient department * Informed consent on the form.
Exclusion criteria
* Ischemic stroke of other determined cause according to the TOAST classification * Ischemic heart disease and necessary to use statin * Hemorrhagic disorders * Platelet count \<=100,000/ul within 3 months prior to study start * Alanine aminotransferase (ALT) or aspartate aminotransferase (AST)\>= 100IU/L within 3 months prior to study start * Serum creatinine \>=2.0mg/dl within 3 months prior to study start * A scheduled operation * The presence of malignant disorder * Patients whom carotid ultrasound cannot examine because of neck tumor or torticollis * Patients after carotid endarterectomy or radiation therapy to neck * Patients whose carotid ultrasound cannot be examined because of neck tumor or torticollis * Patients after carotid endarterectomy or radiation therapy to neck
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intima-media complex thickness (IMT) of the common carotid artery (CCA) | until the last day of the next February after 5-year follow-up survey |
Secondary
| Measure | Time frame |
|---|---|
| Plaque score, number of plaque, recurrent cerebrovascular events | until the last day of the next February after 5-year follow-up survey |
Countries
Japan