Coronary Artery Disease
Conditions
Keywords
IVUS, coronary plaque, regression
Brief summary
Atherosclerosis is a progressive disease. Lipid lowering therapy was the standard treatment for patients with coronary artery disease. Studies indicated that coronary artery plaque progression had positive relationship with the plasma cholesterol level, and could be halted or reversed by intensive statin therapy (such as 20-40 mg/d atorvastatin). Ezetimibe plus statin could further lowered blood cholesterol level. Here the investigators hypothesize that same cholesterol lowering level by routing dose of atorvastatin or lower dose of atorvastatin plus ezetimibe could achieve the same effect on coronary artery plaque cessation or regression.
Interventions
Patients admitted with 20-70% coronary artery plaque identified by angiography will be treated with atorvastatin 10mg/d for two years
Patients admitted with 20-70% coronary artery plaque identified by angiography will be treated with atorvastatin 5mg/d and Ezetimibe 5mg/d for two years
Sponsors
Study design
Eligibility
Inclusion criteria
* Willing to receive the coronary angiography and potential PCI therapy
Exclusion criteria
* Patients was treated by statins before randomization * Patient with ≤ 20% and ≥ 70% coronary narrowing and target lesion * ST elevation myocardial infarction less than 7 days * Without informed consent * Abnormal liver function before randomization, (AST, ALT ≥ULN) * Active hepatitis or muscular disease * Impaired renal function with serum creatinine level \> 3mg/dl * Impaired left ventricular function with LVEF \> 30% * Participate in other studies
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change of coronary artery plaque volume | 1 year | The primary endpoint was the change of coronary artery plaque volume measured by intravascular ultrasound (IVUS) at one year after randomization. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| composite of adverse cardiac events | 2 years | The secondary endpoint was the composite of adverse cardiac events (MACE), including cardiac death, non-fatal infarction and target vessel revascularization at two years after randomization. |
Countries
China