Acute Anterior Myocardial Infarction
Conditions
Keywords
Acute anterior myocardial infarction, Percutaneous coronary stent implantation, Intensive statin therapy, Left ventricular function
Brief summary
First acute anterior myocardial infarction in patients with primary PCI preoperative and postoperative 30 days intensive dose atorvastatin statin therapy compared with conventional -dose therapy , patients can improve left ventricular function , reduce major adverse cardiovascular events .
Interventions
standard statin treatment:Atorvastatin statins 20mg / night .
intensive statin treatment: Admission atorvastatin statins the 80mg, after surgery,atorvastatin 40mg / night,and until 30 days after the operation
Sponsors
Study design
Eligibility
Inclusion criteria
1. ≥ 18 years of age 2. the first time clinical diagnosis of acute anterior myocardial infarction , the time of onset ≤ 12 hours ,intends underwent emergency PCI 3. informed consent
Exclusion criteria
1. Taking , or the need for long-term use of statins is greater than the initial dose 2. treated with PCI again within a mouth 3. active liver disease or liver dysfunction 4. the diagnosis of myopathy 5. severe renal insufficiency ( serum creatinine \> 178umol / L ) 6. Statin drug allergy or had a serious adverse reaction 7. severe aortic stenosis or mitral stenosis , hypertrophic obstructive cardiomyopathy , pericardial disease 8. pregnancy 9. malignancy or any other end-stage diseases result in a life expectancy of \< 6 months 10. be participating in other clinical studies 11. not suitable for inclusion of the other cases 12. not treated with PCI
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| left ventricular function | 30 days | ultrasonic observation of left ventricular end-diastolic diameter |
Secondary
| Measure | Time frame |
|---|---|
| the left ventricular function | 6 months |
| plasma brain natriuretic peptide | 30days |
Other
| Measure | Time frame | Description |
|---|---|---|
| Aspartate aminotransferase (AST) | 1 year | Aspartate aminotransferase (AST) returned to normal in the perioperative period |
| alanine aminotransferase (ALT) | 1 year | alanine aminotransferase (ALT)returned to normal in the perioperative period |
| enzymes | 1 year | the level of CK peak |
| Major adverse cardiac and cerebral events at 1 year | 1 year | 1 year after death, cardiac death , myocardial infarction , heart failure , cardiac causes hospitalization , revascularization combined endpoint of cerebrovascular events . |
Countries
China