Effect of atorvastatin on hs-CRP in acute coronary syndrome

Autor: Sandeep Chopra, Dinesh K Badyal, Thannikot M. Jaison, Prem P. Khosla, Ankur Gupta, Bharti Uppal
Rok vydání: 2008
Předmět:
Zdroj: British Journal of Clinical Pharmacology. 66:411-413
ISSN: 1365-2125
0306-5251
DOI: 10.1111/j.1365-2125.2008.03172.x
Popis: WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT • Markers of inflammation are being investigated as predictors of coronary ischaemic events. All major statins have shown almost similar and significant efficacy in reducing C-reactive protein (CRP) concentrations in acute coronary syndrome (ACS), but atorvastatin was used in a high dose (80 mg). • This study was designed to evaluate the effect of a lower dose (20 mg) of atorvastatin on hs-CRP concentrations in patients with ACS. WHAT THIS STUDY ADDS • A lower dose of atorvastatin (20 mg) was effective in decreasing hs-CRP and LDL concentrations in as short a duration as 4 weeks. The use of a lower dose of atorvastatin in patients of ACS can offer an attractive approach for early treatment of ACS patients. AIMS To evaluate the effect of a lower dose (20 mg) of atorvastatin on hs-CRP concentrations in patients with ACS. METHODS Group A (n = 50) patients received atorvastatin 20 mg day−1 for 4 weeks in addition to standard anti-anginal treatment. Group B (n = 50) patients received standard anti-anginal treatment without atorvastatin. RESULTS hs-CRP concentrations decreased in both groups, but the decrease was greater in group A. The decrease in hs-CRP was also significantly greater in the subgroups of smoking, hypertension and past history of cardiovascular disease with atorvastatin. CONCLUSIONS The use of a lower dose (20 mg) of atorvastatin can offer an attractive approach for early treatment of patients with ACS.
Databáze: OpenAIRE