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Rosuvastatin in Preventing Myonecrosis in Elective Percutaneous Coronary Interventions (PCIs)

Phase 3
Completed
Conditions
Periprocedural Myocardial Necrosis
Interventions
Registration Number
NCT01007279
Lead Sponsor
University of Roma La Sapienza
Brief Summary

An increase in cardiac biomarkers has been shown to occur in 5% to 30% of patients after otherwise successful percutaneous coronary interventions (PCIs)(1) Apart from side-branch occlusion, intimal dissection and coronary spasm, a possible aetiology of myonecrosis after PCI might be distal embolization of atherogenic materials from plaque disruption,(2 )causing obstruction of blood flow at capillary level resulting in micro-infarction.(3,4 )Recent studies have suggested that pretreatment with Atorvastatin may be associated with a reduction in infarct size after elective PCI. (5-7 ).Actually the standard pretreatment in patients undergoing elective coronary-PCI and already treated with aspirin is copidogrel loading dose administration before procedure.(8,9 ) The investigators hypothesized that a high (40mg) loading dose of Rosuvastatin administered within 24h before the procedure may be effective in reducing the rate of periprocedural MI.Therefore, the investigators will conduct a single center,prospective randomized study to assess whether a single,high (40mg) loading (within24h)dose of Rosuvastatin is effective in preventing elevation of biomarkers of MI after elective coronary stent implantation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
160
Inclusion Criteria
  • Patients with stable angina
Exclusion Criteria
  • Baseline myocardial enzyme rise

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
CLOPIDOGRELROSUVASTATIN-
ROSUVASTATINROSUVASTATIN-
Primary Outcome Measures
NameTimeMethod
Myocardial enzymes arise6-12-24 hours
Secondary Outcome Measures
NameTimeMethod
MACE1-6-9 MONTHS

Trial Locations

Locations (1)

Policlinico Umberto I

🇮🇹

Rome, Italy

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