STEMI
Conditions
Keywords
STEMI, atorvastatin, PCI
Brief summary
This is a retrospective, randomized, parallel, open-labeled, controlled study to find out whether STEMI patients undergoing emergency PCI can benefit from intensive atorvastatin treatment compared with routine treatment.
Detailed description
ARMYDA-ACS, ARMYDA-RECAPTURE and NAPLES II demonstrated that in patients with ASP and NSTE ACS undergoing early PCI, loading dose of atorvastatin before early PCI led to a reduction of prei-PCI MI, recurrent CV events and mortality. While, theses studies included patients with non-ST-segment elevation ACS, requiring PCI; these results cannot be extrapolated directly to patients with ST-segment elevation MI, and these trials included patients sent to an early and selective PCI, but not those undergoing emergency revascularization; This study is designed to find out whether STEMI patients undergoing emergency PCI can benefit from intensive atorvastatin treatment compared with routine treatment.
Interventions
80mg atorvastatin immediately after enrollment, emergency PCI,atorvastatin 40mg/d and other usual medication after PCI
Sponsors
Study design
Eligibility
Inclusion criteria
* 20-75 years old * myocardiac ischemia symptom of index event appeared less than 12 hours before enrollment. * ECG showed elevated ST segment in 3 or more contiguous leads * diagnosed with acute STEMI * eligible for primary PCI, and primary PCI is scheduled within 2 hours after enrollment
Exclusion criteria
* allergic or experienced serious adverse reaction to HMG-CoA reductase * pregnancy, lactation, or child bearing potential women without any effective contraception * accompanied with malignant disease * active hepatic disease or hepatic dysfunction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The combined endpoint of 90-day all cause morality, cardiac death, recurrent MI, recurrent symptomatic myocardiac ischemia, target vessel revascularization | 2009 Dec- 2011 Mar |
Countries
China