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Long-Term Safety and Efficacy of Pitavastatin in Patients With Acute Myocardial Infarction (from the Livalo Acute Myocardial Infarction Study [LAMIS])

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Author(s)
허승호
Alternative Author(s)
Hur, Seung Ho
Publication Year
2011
Abstract
Pitavastatin is a potent lipophilic statin and may play an important role in acute myocardial
infarction (AMI) but there have been limited data on the safety and efficacy of
pitavastatin in AMI. This study consisted of 1,039 consecutive patients with AMI (74.0%
men, mean age 61.4 12.6 years) who presented in 10 major percutaneous coronary
intervention centers in Korea from February 2007 through September 2009. Pitavastatin 2
mg/day was routinely administered in patients with AMI from time of presentation. We
investigated changes of lipid profiles, biochemical markers, adverse events, and clinical
outcomes up to 12 months. During the study 318 events overall occurred in 220 patients
(21.2%) who reported >1 treatment emergent adverse event, although 20 events in 14
patients (1.4%) were treatment-related adverse events. Low-density lipoprotein (LDL)
cholesterol percent change was 25.6% and LDL cholesterol target attainment was 70.5%
at 12-month follow-up. Levels of creatinine phosphokinase, serum glutamic oxaloacetic
transaminase, glutamic pyruvic transaminase, and high-sensitivity C-reactive protein decreased
significantly during the first 1 month of pitavastatin treatment and were sustained
to 12-month follow-up. Major adverse cardiac events occurred in 66 patients (7.3%).
All-cause deaths occurred in 32 patients (3.5%) including 19 (2.1%) cardiac deaths and
recurrent MIs occurred in 14 (1.6%) and target lesion revascularizations in 42 (4.7%). In
conclusion, administration of pitavastatin 2 mg/day in patients with AMI showed 70.5%
LDL cholesterol target attainment with good tolerance and was associated with favorable
clinical outcomes up to 12 months. © 2011 Elsevier Inc. All rights reserved. (Am J
Cardiol 2011;108:1530 –1535)
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
American Journal of Cardiology, Vol.108(11) : 1530-1535, 2011
Type
Article
ISSN
0002-9149
DOI
10.1016/j.amjcard.2011.07.009
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/34892
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