Comparison between rosuvastatin and atorvastatin for the prevention of contrast-induced nephropathy in patients with STEMI undergoing primary percutaneous coronary intervention

Journal of Cardiovascular and Thoracic Research

Ahmad Mohebbi¹  Mohammad Javad Alemzadeh-Ansari¹  Farshad Shakerian¹  Reza Kiani¹  Bahar Ghaleshi¹  Fatemeh Ghorbani¹  Mohammad Mostafa Ansari-Ramandi¹  Ali Zahedmehr¹  Ata Firouzi¹  Saeed Oni Heris¹  Hamid Reza Sanati¹  Bahram Mohebbi¹  Ali Kazem Moussavi¹ 

[1] Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran;

关键词: contrast-induced nephropathy;    statin;    percutaneous coronary intervention;   

DOI  :  10.15171/jcvtr.2018.24

来源: DOAJ

【 摘 要 】

Introduction: There is some controversy over the efficacy of statins for the prevention of contrastinduced nephropathy (CIN). There have also been reports on varying efficacies of different statins. Hence, in this study the efficacy of atorvastatin and rosuvastatin for the prevention of CIN was assessed. Methods: This single-blind randomized clinical trial was performed on 495 random patients with myocardial infarction with ST-segment elevation undergoing primary percutaneous coronary intervention (PCI) in a training referral hospital in 2015. Patients were randomly assigned to receive either atorvastatin 80 mg at admission and daily or rosuvastatin 40 mg at admission and daily. CIN was defined based on serum creatinine elevation after 48 hours from the PCI. Results: The incidence of CIN was observed in 63 patients (21.4%) After 48 hours from primary PCI. Of those, 17% (n = 50) were grade 1 CIN, while 4.4% (n = 13) were grade 2 CIN. There was no significant difference between rosuvastatin group compared with atorvastatin group, regarding the CIN grading (P = 0.14). Conclusion: Our results indicate that atorvastatin and rosuvastatin have similar efficacy for the prevention of CIN.

【 授权许可】

Unknown