Acute Myocardial Infarction
Conditions
Keywords
sequential therapy, atorvastatin, acute myocardial infarction
Brief summary
Statins have been approved to benefit patients underwent percutaneous coronary intervention (PCI). The current study is designed to evaluate the effectiveness and safety of Sequential Therapy of Atorvastatin in patients with ST-elevated myocardial infarction and receive PCI treatment.
Interventions
80mg atorvastatin before PPCI and 40mg/d for 7 days after PPCI
Sponsors
Study design
Eligibility
Inclusion criteria
* Sighed informed consent * Diagnosised as acute myocardial infarction * Time frame less than 12 hours since the occurance of chest pain * Aggred to receive sirolimus-eluted coronary stents * Patients willing to accepte follow-up
Exclusion criteria
* Allegy to statins or with a history against statin therapy * Allegy to any products that will be used during PPCI * Disagreed to receive PPCI and other related therapy * Existing sever liver dysfuntion that statins can not be used according to the guildlines * Sever kidney dysfunction (creatinine \>3mg/dl or eGFR\<30ml/min) * Sever left ventricular dysfunction (Killip grade 3) * Patients are currently taking medicine that may influence the use of statin * Patients with a history of alcohol abuse or durg abuse * Woman during pregnancy or lactation * Patients who has attended other clinical trials * Patients who has received PCI or CABG previously * Patients who can not agree to accept study protocol * Other conditions that may not sutible for the current study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Major Adverse Events (MACE) Occourance Rate | 30 days | 1. Cardiac Death (CD) 2. Non-fatal re-inarction (CK-MB, cTNI or cTNT elevation again and over 3 times higher than up normal limit accompanied with syptoms or EKG indication) 3. revascularization driven by syptoms (CABG or re-PCI) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary Endpoints | 12 months | 1. TMP and TIMI grade chage after stents implantation; EKG ST reduction 2. MACE ( same definition as primary endpoints) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Safty Endpoints | 12 months | 1. Impairment of liver and kidney function 2. Other adverse events related to statin use |
Countries
China