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Two-year Clinical Efficacy of Rosuvastatin Compared with Other Potent Statins in Patients Undergoing Percutaneous Coronary Intervesion with Drug Eluting Stents
을지병원 심장내과 ¹ 고려대학교 구로병원 심혈관센터²
박지영¹,², 나승운 ² 최재웅¹ , 유승기¹ , Kanhaiya L. Poddar ² , Meera Kumari ² , 최병걸 ² , 김연경 ², 나진오 ², 최철웅 ² , 임홍의 ², 김진원 ², 김응주 ², 박창규 ², 서홍석 ², 오동주²
Background High dose potent statin is known to be effective in reducing major adverse cardiovascular events (MACE) among patients (pts) undergoing percutaneous coronary intervention (PCI) with drug-eluting stents (DESs). We evaluated whether the rosuvastatin, so called superstatin can be associated with better long-term clinical outcomes compared with other potent statins in Asian population. Methods The study population consisted of 998 consecutive patients (pts) undergoing PCI with DESs from November 2005 to June 2008. Angiographic outcomes at 6 months and cumulative clinical outcomes up to 2 years were compared between rosuvastatin group (n= 469 pts, 47.0%) and other statin group (n=528 pts, 58.0%) including atorvastatin (n=280 pts) and pitavastatin (n=248 pts). Results Both groups had similar baseline clinical and procedural characteristics. Six-month angiographic outcomes showed that rosuvastatin group had lower mean restenosis percent (%) but had similar incidence of binary stenosis and late loss as compared with the other statin group. Major clinical outcomes were similar between the two groups up to 2 years including cardiac death, Q wave MI, repeat PCI and TVR MACE (Table). Conclusions: Although rosuvastatin administration was associated with lower restenosis percent (%), this angiographic benefit was not translated into better clinical outcomes compared with other potent statin group up to 2 years.

Table: Six-month Angiographic and 2-year clinical outcomes

Variable, n (%)

Rosuvastatin group

(n=469 pts, 773 lesions)

Other Potent Statin group

(n=528 pts, 618 lesions)

P value

Binary restenosis

16 (8.8)

33 (13.0)

0.218

Restenosis percent, %

21.04 ± 19.14

24.67 ± 20.65

0.044

Late loss, mm

0.52 ± 0.65

0.59 ± 0.71

0.321

Cardiac death

4 (2.8)

6 (2.5)

1.000

Q-wave MI

2 (1.4)

3 (1.3)

1.000

TLR

19 (8.0)

25 (8.9)

0.753

TVR

21 (8.8)

32 (11.4)

0.384

TVR-MACE

49 (16.0)

76 (19.1)

0.276

Total MACE

29 (20.0)

55 (23.3)

0.525

 



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