Coronary Angioplasty, Coronary Artery Disease
Conditions
Keywords
atorvastatin, percutaneous coronary intervention, periprocedural myocardial infarction, Hydroxymethylglutaryl-CoA Reductase Inhibitors
Brief summary
This study investigates potential protective effect of atorvastatin pre-treatment in patient with stable coronary artery disease undergoing percutaneous coronary intervention (PCI) on chronic statin therapy. Patients are randomized into two groups: atorvastatin pre-treatment group (80mg atorvastatin seven days before PCI) and control group (PCI without atorvastatin pretreatment, chronic statin treatment). Endpoint is myocardial infarction measured by troponin I and creatine kinase myocardial band.
Detailed description
This randomized study investigates potential protective effect of high dose atorvastatin pre-treatment in patient with stable coronary artery disease undergoing percutaneous coronary intervention (PCI) and chronic statin therapy. Two arms: 1. atorvastatin pre-treatment group (80mg atorvastatin for seven days) 2. control group (without atorvastatin pre-treatment, chronic statin treatment) Primary endpoint: Periprocedural myocardial infarction measured by troponin I level (time frame 24 hours) Secondary endpoint: Periprocedural myocardial infarction measured by creatine kinase myocardial band (time frame 24 hours)
Interventions
atorvastatin 80mg p.o. daily seven days before PCI
Sponsors
Study design
Eligibility
Inclusion criteria
* Indication for percutaneous coronary intervention * Informed consent * Chronic statin therapy
Exclusion criteria
* Acute coronary syndrome in last 14 days * Renal insufficiency (creatinine more 150 umol/l) * Diseases severely limiting prognosis * Previous participation in this study * Chronic occlusion of the coronary artery, bypass intervention, left main intervention * Chronic statin treatment with atorvastatin 80mg daily and rosuvastatin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| periprocedural myocardial infarction measured by troponin I level | 24 hours after PCI |
Secondary
| Measure | Time frame |
|---|---|
| periprocedural myocardial infarction measured by creatinine kinase myocardial band | 24 hours after PCI |
Countries
Czechia