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Recent trials have demonstrated that a reduction in low-density lipoprotein cholesterol (LDL-C) reduces cardiovascular adverse events following acute coronary syndrome (ACS). However, the data coming from the real-world setting are limited. Therefore, the aim of the study is to assess the association between LDL-C changes with prognosis in patients who survive ACS.
Patients with ACS will be followed for mortality and major events for at least 1 year. Changes in LDL-C between the ACS and a 6- to 10-week follow-up visit will be analysed. The associations between quartiles of LDL-C change and therapy intensity with outcomes will be investigated using adjusted Cox regression analyses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High-intensity statin |
| ||
| High-intensity statin plus ezetimib |
| ||
| High-intensity statin plus ezetimib plus PCSK9 inhibitor |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Statin | Drug | Statin +/- ezetimib +/- Alirocumab |
|
| Measure | Description | Time Frame |
|---|---|---|
| Major Cardiovascular Adverse Events | All-cause death, Acute Coronary Syndrom, Need for Myocardial Revascularization | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| LDL reduction | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
-
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Consecutive patients presented with acute coronary syndrome in one of hospitals in Republic of Srpska
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bojan M Stanetic, MD, PhD | Contact | 0038765614340 | bojan.stanetic@gmail.com | |
| Tamara S Kovacevic-Preradovic, MD, PhD | Contact | tamara.preradovic@medicolaser.info |
| Name | Affiliation | Role |
|---|---|---|
| Bojan M Stanetic, MD, PhD | University Clinical Centre of the Republic of Srpska | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Clinical Centre of the Republic of Srpska | Recruiting | Banja Luka | Republika Srpska | 78000 | Bosnia and Herzegovina |
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|
| ID | Term |
|---|---|
| D054058 | Acute Coronary Syndrome |
| D050171 | Dyslipidemias |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D019161 | Hydroxymethylglutaryl-CoA Reductase Inhibitors |
| D000069438 | Ezetimibe |
| C571059 | alirocumab |
| ID | Term |
|---|---|
| D000924 | Anticholesteremic Agents |
| D000960 | Hypolipidemic Agents |
| D000963 | Antimetabolites |
| D045504 | Molecular Mechanisms of Pharmacological Action |
| D020228 | Pharmacologic Actions |
| D020164 | Chemical Actions and Uses |
| D004791 | Enzyme Inhibitors |
| D057847 | Lipid Regulating Agents |
| D045506 | Therapeutic Uses |
| D001384 | Azetidines |
| D001385 | Azetines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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