Acute Coronary Syndrome
Conditions
Keywords
acute coronary syndrome, intervention, outcome, patients diagnosed ad Non-ST elevation ACS, patients received PCI therapy
Brief summary
PCI has been one of the most common choice of treatments for patients with coronary artery disease, and studies indicated that intensive statin treatment before PCI could reduce adverse events as comparing to the placebo. In China, statin with regular dose is currently applied to the patients admitted for Non-ST-elevation acute coronary syndrome (ACS). Here we hypothesize that intensive statin treatment with arovastatin before PCI could further reduce clinical adverse events.
Interventions
patients admitted for Non-ST elevation ACS will be treated by atorvastatin 20md/d for one year
Sponsors
Study design
Eligibility
Inclusion criteria
* finish informed consent * age≥18y and under 75y * diagnosed as non-ST elevation acute coronary syndrome, including unstable angina and non-ST elevation myocardial infarction * willing to receive the coronary angiography and potential PCI therapy
Exclusion criteria
* patient was treated by statins before randomization * stable angina or ST elevation myocardial infarction * without informed consent * abnormal liver function before randomization, (AST,ALT≥3ULN) * active hepatitis or muscular disease * impaired renal function with serum creatinine level \> 3mg/dl * impaired left ventricular systolic function with LVEF\< 30% * participating in other studies * non-PCI treated patients after coronary angiography will be washed out
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary end point was the composite of major adverse cardiac events (MACE), including cardiac death, non-fatal reinfarction, and target vessel revascularization (TVR) at one-year clinical follow-up after randomization. | one year |
Secondary
| Measure | Time frame |
|---|---|
| rate of peri-procedural myocardial infarction | 30days |
| MACE at 30d after randomization 3. changes of left ventricular function at 30d after randomization | 30 days |
| changes of left ventricular function at 30d after randomization | 30 days |
Countries
China