Description:
Background: Statins are the most common drugs used for reducing low-density lipids (LDL). In
addition to their lipid-lowering effects, they have well-documented anti-inflammatory actions.
The goal of this study was to compare the effects of high dose atorvastatin and rosuvastatin
on lipid profiles and high sensitivity C Reactive Protein (hs-CRP) in patients undergoing
percutaneous coronary intervention (PCI).
Methods: The study was done between October 2017 and September 2018 in Semnan Kowsar
Hospital. In this randomized trial, 69 patients with atherosclerotic coronary artery disease were
randomly assigned 1:1 to receive atorvastatin (80 mg daily) or rosuvastatin (40 mg daily) for
4 months. Levels of hs-CRP and lipid profiles including cholesterol, triglyceride, low-density
lipids (LDL), and high-density lipids (HDL) were measured and compared before and after the
treatments. Lipid profiles were measured at baseline, 2 months, and 4 months of the treatment.
Results: Sixty patients completed the study. The mean age was 61.1 ± 6.6 years with an excess of
males. After 4 months, both drugs could significantly reduce LDL levels, however, the betweengroup differences were not statistically significant. Rosuvastatin significantly increased HDL
levels (p < 0.05). In addition, triglyceride levels had a significant reduction in both groups, yet
the differences were not significant. Both drugs caused significant reductions in hs-CRP levels
(p < 0.05). Moreover, the effects of treatments were seen in drug naïve patients as well as patients
who were on statins prior to the trial.
Conclusion: The results indicate that high dose therapies with atorvastatin and rosuvastatin
have similar effects on lipid profiles and hs-CRP levels in patients undergoing PCI.
URL:
http://103.158.96.210:88/web_repository/uploads/ps-27-568.pdf
Type:
Journal
Document:
Diploma III Farmasi
Date:
23-06-2024
Author:
Mahboubeh Darban