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Role of statins in the management of dyslipidemia after cardiac transplant: randomized controlled trial comparing the efficacy and the safety of atorvastatin with pravastatin.
Magnani, G; Carinci, V; Magelli, C; Potena, L; Reggiani, L B; Branzi, A.
Afiliación
  • Magnani G; Institute of Cardiology, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
J Heart Lung Transplant ; 19(7): 710-5, 2000 Jul.
Article en En | MEDLINE | ID: mdl-10930822
BACKGROUND: Cardiac transplant patients are at increased risk of dyslipidemia, a known pathogenetic factor in chronic rejection. The aim of this study was to compare the efficacy and the safety of treatment with atorvastatin (AT) and treatment with pravastatin (PV) in a population of dyslipidemic transplant patients. METHODS: Thirty-nine transplant patients were randomized to receive a 4-month cycle of therapy with AT or PV, in a cross-over sequence. We analyzed the effects on their lipid profiles using Student t-test for paired data. RESULTS AND CONCLUSION: Atorvastatin was significantly more effective than PV in reducing total cholesterol (33% vs 21%, p < 0.001), LDL cholesterol (45% vs 30%, p = 0.001), and triglycerides (24% vs 7.7%, p < 0.001), at lower doses and with comparable tolerability and safety.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pirroles / Trasplante de Corazón / Pravastatina / Inhibidores de Hidroximetilglutaril-CoA Reductasas / Ácidos Heptanoicos / Hiperlipidemias Tipo de estudio: Clinical_trials / Etiology_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Heart Lung Transplant Asunto de la revista: CARDIOLOGIA / TRANSPLANTE Año: 2000 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pirroles / Trasplante de Corazón / Pravastatina / Inhibidores de Hidroximetilglutaril-CoA Reductasas / Ácidos Heptanoicos / Hiperlipidemias Tipo de estudio: Clinical_trials / Etiology_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Heart Lung Transplant Asunto de la revista: CARDIOLOGIA / TRANSPLANTE Año: 2000 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos