Intensive Statin Treatment for STEMI Patients Undergoing Primary PCI

Effect of Intensive Statin Treatment on 90-day Prognosis of STEMI Patients Undergoing Emergency Primary PCI Compared With Usual Care

This is a retrospective, randomized, parallel, open-labeled, controlled study to find out whether STEMI patients undergoing emergency PCI can benefit from intensive atorvastatin treatment compared with routine treatment.

ARMYDA-ACS, ARMYDA-RECAPTURE and NAPLES II demonstrated that in patients with ASP and NSTE ACS undergoing early PCI, loading dose of atorvastatin before early PCI led to a reduction of prei-PCI MI, recurrent CV events and mortality. While, theses studies included patients with non-ST-segment elevation ACS, requiring PCI; these results cannot be extrapolated directly to patients with ST-segment elevation MI, and these trials included patients sent to an early and selective PCI, but not those undergoing emergency revascularization;

This study is designed to find out whether STEMI patients undergoing emergency PCI can benefit from intensive atorvastatin treatment compared with routine treatment.

Inclusion Criteria:

• 20-75 years old
• myocardiac ischemia symptom of index event appeared less than 12 hours before enrollment.
• ECG showed elevated ST segment in 3 or more contiguous leads
• diagnosed with acute STEMI
• eligible for primary PCI, and primary PCI is scheduled within 2 hours after enrollment

Exclusion Criteria:

• allergic or experienced serious adverse reaction to HMG-CoA reductase
• pregnancy, lactation, or child bearing potential women without any effective contraception
• accompanied with malignant disease
• active hepatic disease or hepatic dysfunction