Heart Transplantation, Hypercholesterolemia
Conditions
Brief summary
Statin therapy is a treatment with a proven positive impact on survival after heart transplantation. However, it is unclear whether the beneficial effect of this class of drugs depends solely on their LDL-lowering properties or on anti-inflammatory and immuno-modulatory properties. Thus, this study was designed to compare safety and efficacy of two different strategies: 1. high fixed statin dose vs. 2. low starting dose with LDL-driven doses adjustments.
Interventions
Fluvastatin 80 mg (Arm 1) vs. Fluvastatin 20 mg (Arm 2) increased according with LDL concentrations
Sponsors
Study design
Eligibility
Inclusion criteria
* De novo heart transplantation
Exclusion criteria
* Known allergy/intolerance to fluvastatin; * Preexisting neuromuscular disorders; * Significant liver disease and/or elevation of transaminase exceeding 3 times the ULN * Severe renal impairment : creatinine \> 3 mg/dL * Intellectual/cognitive impairment likely to compromise informed consent or adherence to protocol or age \<18 years. * Patients refusal * Pregnancy
Countries
Italy