The CIAKI,as the third complication of PCI, was associated with adverse cardiac events after procedure. Moreover, because the rate of periprocedure hydration is inadequate in STEMI patients before primary PCI, the incidence of CIAKI is higher significantly in these patients. The cardiovascular pleiotropic effects of statins in addition to lipid have been widely concerned. The previous studies demonstrated usage of statin in periprocedure could decrease the risk of CIAKI. Compared with hydration, the usage of statin to prevention CIAKI show the advantages in clinical practice, for example,there is no need to consider the cardiac function.The optimal strategies for preventting CIAKI in STEMI patients undergoing primary PCI needed further studies to explore. What's more, whether a synergistic effect of hydration and statin or not is unknown.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
In experimental group,a loading dose of rosuvastatin 20mg then 10 mg daily followed for at least 7 days and hydration(3ml/kg/h)last 12 hours after randomized
Prohibition of use any statins from randomized to 12 hours after procedure; The hydration or not is determined by physicians but 1 ml/kg/h at most.
The General Hospital of Shenyang Millitary Region
Shenyang, Liaoning, China
CIAKI
CIAKI, defined an Absolute Increase in SCr ≥0.5mg/dL(≥44.2μmmol/L)or a ≥ 25% Increase in SCr From Baseline to 7 days After the Procedure
Time frame: 7 days
The peak value of Scr
Time frame: withtin 7 days before randomized
The rate of Aggravated Heart Function
Aggravated at Least 1 Class of Heart Function
Time frame: withtin 30 days before randomized
The rate of Hospitalization for Aggravated Renal Function, Acute Renal Failure, Dialysis or Hemofiltration
Time frame: withtin 30 days before randomized
the level of hsCRP
Time frame: withtin 7 days before randomized
The Composite of all-cause death, MI, stroke, and TVR
Time frame: withtin 30 days before randomized
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