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| Name | Class |
|---|---|
| Azienda USL 4 Prato | OTHER |
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Registration of all ACS patients (STEMI and NSTEMI) admitted to the cardiology ward and scheduled for early invasive strategy. The aim is to evaluate the protective effects of early (on admission) high-dose high-potency statin therapy on early and mid-term cardiac and renal events in this subset of patients.
Statin-naive patients and those on statin therapy with ACS who are admitted to the cardiology ward of our public (National Health Service) hospital and are scheduled for early invasive strategy receive immediately on admission, always before angiographic procedure, high-dose statin therapy. Either atorvastatin 80 mg or rosuvastatin 40 mg is administered at the discretion of the physician. During hospitalization various pertinent cardiac and renal parameters, including hematological, angiographic, clinical data are registered in a dedicated database. Clinical follow-up and hematological analysis are done 1 month after discharge. A second follow-up, either clinical or by telephone, is done 1 year after discharge.
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| Measure | Description | Time Frame |
|---|---|---|
| Acute renal function changes | Changes in creatinine and/or cystatine values | Within 72 hours after hospital admission |
| Inflammatory profile changes | Changes from baseline in CRP values | up to 1 month |
| Lipid profile changes | Changes from baseline in cholesterol values | up to 1 month |
| Platelet count | Changes from baseline in platelet count | up to 1 month |
| Platelet volume | Changes from baseline in platelet volume | up to 1 month |
| Platelet aggregation profile | Changes from baseline in platelet reactivity (Verify Now) | up to 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Major cardiovascular adverse events | Death, myocardial infarction, stroke or coronary revascularization | up to 12 months |
| Renal function changes | glomerular filtration rate |
| Measure | Description | Time Frame |
|---|---|---|
| Impact of age and frailty profile on primary and secondary outcomes | Frailty evaluation (combination of FRAIL scale questionnaire and hand-grip strength measurement) | Up to 1 month |
Inclusion Criteria:
Exclusion Criteria:
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Statin-naive patients and those on statin therapy with ACS (both STEMI and NSTEMI)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anna Toso, MD | Contact | 00393387982507 | anna.toso@libero.it | |
| Mario Leoncini, MD | Contact | 0039-0574803738 | leoncini.mario@tiscali.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cardiology Division, Prato Hospital | Recruiting | Prato | 59100 | Italy |
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| ID | Term |
|---|---|
| D054058 | Acute Coronary Syndrome |
| D000072657 | ST Elevation Myocardial Infarction |
| D000072658 | Non-ST Elevated Myocardial Infarction |
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| Changes from baseline at 1 month |
| Major adverse cardiovascular and renal adverse events | Death, myocardial infarction, stroke, coronary revascularization or glomerular filtration rate reduction > = 25% compared to baseline | up to 1 month |
| D009203 |
| Myocardial Infarction |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |