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We want to evaluate the utility of statins on heart function according to potency. Patients with chronic ischemic heart failure are administered pitavastatin 4mg or pravastatin 10mg for 52 weeks. Then we evaluate the effect of pitavastatin and pravastatin primarily on rate of hospitalization for cardiovascular cause and lipid profile secondarily biomarker, echocardiography parameter, 6-minute walk, change of NYHA class distribution, cardiovascular mortality.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Active Comparator | strong statin |
|
| 2 | Active Comparator | mild statin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pitavastatin | Drug | pitavastatin 4mg once daily |
| |
| pravastatin |
| Measure | Description | Time Frame |
|---|---|---|
| Rate and number of hospitalization for cardiovascular cause; Lipid profile | 52week |
| Measure | Description | Time Frame |
|---|---|---|
| Biomarker : BNP, hsCRP, IL-6. TNF-α | 52 week | |
| Echocardiography : LVEF, E/A ratio, LVEDD, LVESD | 52 week | |
| Cardiac function evaluation (NYHA class distribution, 6-minute walk test) |
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Inclusion Criteria:
Patients who accepted to enter the study by written informed consent
Age ≥ 30 years
LDL-cholesterol ≥ 70mg/dl
Chronic heart failure of :
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sang Hong Baek, MD, PhD | KangNam St. Mary's Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| SEOUL St. Mary's Hospital | Seoul | Seocho-Ku | 137-040 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25378974 | Derived | Lee HY, Cho HJ, Kim HY, Jeon HK, Shin JH, Kang SM, Baek SH. Effects of intensive versus mild lipid lowering by statins in patients with ischemic congestive heart failure: Korean Pitavastatin Heart Failure (SAPHIRE) study. Korean J Intern Med. 2014 Nov;29(6):754-63. doi: 10.3904/kjim.2014.29.6.754. Epub 2014 Oct 31. |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| C108475 | pitavastatin |
| D017035 | Pravastatin |
| ID | Term |
|---|---|
| D009281 | Naphthalenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| Drug |
pravastatin 10mg once daily |
|
| 52 week |
| Cardiovascular mortality | 52 week |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |