ST-segment Elevation Myocardial Infarction, Subclinical Carotid Atherosclerosis
Conditions
Keywords
CIMT, IVUS-VH, Coronary artery disease
Brief summary
The aim of this study was to measure the effect of moderate and intensive lipid-lowering treatment with rosuvastatin on the carotid intima-media thickness (CIMT) as a surrogate marker of cardiovascular risk.
Detailed description
The aim of this study was to measure the effect of moderate (5mg) and intensive (40mg) lipid-lowering treatment with rosuvastatin on the carotid intima-media thickness as a surrogate marker of cardiovascular risk and to obtain whether CIMT correlated with the plaque components in coronary arteries evaluated with Intravascular Ultrasound Virtual Histology (IVUS-VH).
Interventions
Rosuvastatin 5mg/day for one year
Sponsors
Study design
Eligibility
Inclusion criteria
1. STEMI, 2. no prior treatment with statins and 3. a non significant lesion in one of the two non-culprit coronary arteries. -
Exclusion criteria
1. age below 18 or above 81 years, 2. unconscious patients, 3. serum creatinine \> 176μmol/L, 4. total-cholesterol \> 7.0 mmol/l, 5. hypothyroidism ((TSH \> 1.5 x ULN (upper limit of normal)), 6. current liver disease (ALAT \> 2 x ULN), 7. unexplained creatine kinase \> 3 x ULN, 8. alcohol or drug abuse within the last five years, 9. prior myopathy or serious hypersensitivity reaction caused by statins, 10. women with childbearing potential who were not using chemical or mechanical contraception, 11. pregnant or breastfeeding women, 12. history of malignancy unless a disease-free period of more than five years was present, 13. patients with abnormal lung function test (LFT), 14. participation in another investigational drug study less than four weeks before enrolment in the present study, 15. treatment with cyclosporine or fibrates. -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change from baseline in mean CIMT | baseline, 6month, 12 month | Average of the far wall of common and bulbus carotid artery |
Secondary
| Measure | Time frame |
|---|---|
| change from baseline in mean common CIMT | baaseline, 6month 12 month |
| change from baseline in max common CIMT | baseline, 6month 12month |
| change from baseline in mean bulbus CIMT | Baseline, 6month 12 month |
| changes from baseline in max CIMT | baseline, 6month, 12 month |
| change from baseline in lipid values | baseline, 6month 12month |
| correlation between CIMT measurements and lipid values | Baseline, 6month 12 month |
| correlation between CIMT measurements and plaque components evaluated by IVUS-VH | Baseline, 6month 12month |
| change from baseline in max bulbus CIMT | baseline, 6month 12month |
Countries
Denmark