Usefulness of Atorvastatin in Patients With Heart Failure Due to Inflammatory Dilated Cardiomyopathy and Elevated Cholesterol Levels

This study evaluated the safety, tolerability, and efficacy of statin therapy in patients with heart failure secondary to inflammatory dilated cardiomyopathy and moderately elevated low-density lipoprotein cholesterol levels. Seventy-four patients were randomized to receive atorvastatin 40 mg/day or...

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Veröffentlicht in:The American journal of cardiology 2006-03, Vol.97 (6), p.899-904
Hauptverfasser: Wojnicz, Romuald, Wilczek, Krzysztof, Nowalany-Kozielska, Ewa, Szyguła-Jurkiewicz, Bożena, Nowak, Jolanta, Poloński, Lech, Dyrbuś, Krzysztof, Badziński, Arkadiusz, Mercik, Gabriela, Zembala, Marian, Wodniecki, Jan, Rozek, Marius M.
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container_end_page 904
container_issue 6
container_start_page 899
container_title The American journal of cardiology
container_volume 97
creator Wojnicz, Romuald
Wilczek, Krzysztof
Nowalany-Kozielska, Ewa
Szyguła-Jurkiewicz, Bożena
Nowak, Jolanta
Poloński, Lech
Dyrbuś, Krzysztof
Badziński, Arkadiusz
Mercik, Gabriela
Zembala, Marian
Wodniecki, Jan
Rozek, Marius M.
description This study evaluated the safety, tolerability, and efficacy of statin therapy in patients with heart failure secondary to inflammatory dilated cardiomyopathy and moderately elevated low-density lipoprotein cholesterol levels. Seventy-four patients were randomized to receive atorvastatin 40 mg/day or conventional treatment for heart failure. After 6 months of therapy, the predefined primary efficacy end point (an increase of >5% in the absolute left ventricular ejection fraction and ≥2 selected criteria by echocardiography and a decrease in New York Heart Association functional class) was significant in the statin-treated patients (p = 0.004). Among secondary efficacy parameters, the quality-of-life index showed a trend suggesting the benefit of statin therapy (p = 0.055). In conclusion, the results of this study demonstrate that treatment with atorvastatin in addition to standard therapy for heart failure may significantly improve clinical outcomes in this cohort of patients.
doi_str_mv 10.1016/j.amjcard.2005.09.142
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subjects Adult
Atorvastatin Calcium
Biological and medical sciences
Cardiology. Vascular system
Cardiomyopathy, Dilated - complications
Cardiomyopathy, Dilated - drug therapy
Cholesterol
Cholesterol, LDL - blood
Cholesterol, LDL - drug effects
Clinical outcomes
Drug therapy
Drug Therapy, Combination
Endpoint Determination
Evaluation Studies as Topic
Female
Heart
Heart failure
Heart Failure - drug therapy
Heart Failure - etiology
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Heptanoic Acids - therapeutic use
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use
Hypercholesterolemia - complications
Hypercholesterolemia - drug therapy
Immunohistochemistry
Low density lipoprotein
Male
Medical sciences
Myocarditis. Cardiomyopathies
Myocardium - pathology
Pyrroles - therapeutic use
Quality of Life
Statins
Treatment Outcome
Ventricular Function, Left - drug effects
title Usefulness of Atorvastatin in Patients With Heart Failure Due to Inflammatory Dilated Cardiomyopathy and Elevated Cholesterol Levels
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