The influence of low dose atorvastatin on inflammatory marker levels in patients with acute coronary syndrome and its potential clinical value
| Autor: | Maciej, Lewandowski, Zdzisława, Kornacewicz-Jach, Barbara, Millo, Joanna, Zielonka, Małgorzata, Czechowska, Robert, Kaliszczak, Edyta, Płońska, Jarosław, Goracy, Jarosław, Kaźmierczak, Marek, Naruszewicz |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Dose-Response Relationship Drug Interleukin-6 Tumor Necrosis Factor-alpha Anticholesteremic Agents Middle Aged Coronary Angiography Risk Assessment Severity of Illness Index Drug Administration Schedule Statistics Nonparametric Coronary Restenosis C-Reactive Protein Treatment Outcome Heptanoic Acids Atorvastatin Humans Female Pyrroles Acute Coronary Syndrome Inflammation Mediators Chemokine CCL2 Follow-Up Studies Probability |
| Zdroj: | Cardiology journal. 15(4) |
| ISSN: | 1898-018X |
| Popis: | High-dose statins are used in acute coronary syndromes (ACS) to reduce inflammation. The aim of the study was the evaluation of the influence of low-dose atorvastatin (20 mg) on selected inflammatory parameters and clinical outcomes after ACS.Seventy eight patients (pts) with ACS were randomly divided into group A (39 pts) taking atorvastatin, and group NA (39 pts) not taking any statin for the following six weeks. C-reactive protein (CRP), interleukin-6 (IL-6), monocyte chemoattractant protein-1 (MCP-1) and tumour necrosis factor alpha (TNFa) levels were measured on the first and the fifth days and six weeks after ACS.There was no significant CRP and IL-6 level decrease in group A (CRP--62%; IL-6-73%) or group NA (CRP-44%; IL-6-62%). There was also no significant change in TNFa levels. The MCP-1 level finally reached the level of significant difference (p0.04). Cardiovascular events (MACE) and the restenosis rates did not differ between the groups.Low-dose atorvastatin does not have a significant influence on cooling down inflammation in ACS, and MCP-1 can be used as an early indicator of statin anti-inflammatory activity. Furthermore, it does not reduce MACE or restenosis rates despite its influence on MCP-1 levels. |
| Databáze: | OpenAIRE |
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