Effect of high load application of atorvastatin on the clinical outcome of patients with acute myocardial infarction after percutaneous coronary intervention
10.3760/cma.j.issn.1008-6315.2016.06.010
- VernacularTitle:冠状动脉介入治疗术前高负荷应用阿托伐他汀对急性心肌梗死患者临床预后的影响
- Author:
Shuyu LIU
;
Jianbin GONG
;
Woruo YE
;
Liang XIE
;
Yinghao PEI
;
Jun WANG
- Publication Type:Journal Article
- Keywords:
Preoperative percutaneous coronary intervention;
High-dose statin;
Acute myocardial infarction
- From:
Clinical Medicine of China
2016;32(6):509-512
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of high load application of atorvastatin on the clinical outcome of patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI).Methods Eighty patients diagnosed with AMI were continuously enrolled in this study and randomly divided into two groups:high dose group(n=40) and control group(n=40).Application of high load atorvastatin before operation in loading group.The levels of serum lipid and cardiac function were measured and analyzed.Results The levels of BNP((204±60.3) pg/mL vs.(328.3±67.5) pg/mL;t=1.938,P=0.0315) on 7 days after PCI and levels of LVEF((50.3±6.0)％ vs.(56.9±7.3)％;t=2.169,P=0.019) on 1 month after PCI in high dose group were significantly better than those in control group.Correlation analysis showed that the administration of statin was negatively associated with levels of BNP(r=-0.157,P=0.021) on 7 days after PCI and positively associated with LVEF(r=-0.328,P=0.026) on 1 month after PCI.Conclusion The treatment of high dose statin before PCI may reduce the ischemia-reperfusion injury and prevent the no-reflow development,which therefore improve the cardiac function of AMI patients.
