Registration of all ACS patients (STEMI and NSTEMI) admitted to the cardiology ward and scheduled for early invasive strategy. The aim is to evaluate the protective effects of early (on admission) high-dose high-potency statin therapy on early and mid-term cardiac and renal events in this subset of patients.
Statin-naive patients and those on statin therapy with ACS who are admitted to the cardiology ward of our public (National Health Service) hospital and are scheduled for early invasive strategy receive immediately on admission, always before angiographic procedure, high-dose statin therapy. Either atorvastatin 80 mg or rosuvastatin 40 mg is administered at the discretion of the physician. During hospitalization various pertinent cardiac and renal parameters, including hematological, angiographic, clinical data are registered in a dedicated database. Clinical follow-up and hematological analysis are done 1 month after discharge. A second follow-up, either clinical or by telephone, is done 1 year after discharge.
Study Type
OBSERVATIONAL
Enrollment
2,500
Cardiology Division, Prato Hospital
Prato, Italy
RECRUITINGAcute renal function changes
Changes in creatinine and/or cystatine values
Time frame: Within 72 hours after hospital admission
Inflammatory profile changes
Changes from baseline in CRP values
Time frame: up to 1 month
Lipid profile changes
Changes from baseline in cholesterol values
Time frame: up to 1 month
Platelet count
Changes from baseline in platelet count
Time frame: up to 1 month
Platelet volume
Changes from baseline in platelet volume
Time frame: up to 1 month
Platelet aggregation profile
Changes from baseline in platelet reactivity (Verify Now)
Time frame: up to 1 month
Major cardiovascular adverse events
Death, myocardial infarction, stroke or coronary revascularization
Time frame: up to 12 months
Renal function changes
glomerular filtration rate
Time frame: Changes from baseline at 1 month
Major adverse cardiovascular and renal adverse events
Death, myocardial infarction, stroke, coronary revascularization or glomerular filtration rate reduction \> = 25% compared to baseline
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Time frame: up to 1 month