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Comparison of outcomes in acute coronary syndrome in patients receiving statins within 24 hours of onset versus at later times.

Abstract
The clinical benefits of statins in acute coronary syndromes are well established, but the optimal time for administration in this setting has not been well studied. In this study, patients who had acute coronary syndrome and received statins <24 hours of presentation had lower incidences of death, stroke, reinfarction, heart failure, and pulmonary edema compared with delayed administration. Prompt administration of statins appears to be significantly beneficial in patients who present with an acute coronary syndrome.
AuthorsFadi A Saab, Kim A Eagle, Eva Kline-Rogers, Jianming Fang, Richard Otten, Debabrata Mukherjee, Michigan Cardiovascular Outcomes Research and Reporting Program of the University of Michigan Cardiovascular Center
JournalThe American journal of cardiology (Am J Cardiol) Vol. 94 Issue 9 Pg. 1166-8 (Nov 01 2004) ISSN: 0002-9149 [Print] United States
PMID15518612 (Publication Type: Comparative Study, Journal Article)
Chemical References
  • Adrenergic beta-Antagonists
  • Angiotensin-Converting Enzyme Inhibitors
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
Topics
  • Adrenergic beta-Antagonists (therapeutic use)
  • Aged
  • Angina, Unstable (drug therapy, mortality)
  • Angiotensin-Converting Enzyme Inhibitors (therapeutic use)
  • Coronary Disease (drug therapy, mortality)
  • Female
  • Follow-Up Studies
  • Hospital Mortality
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors (therapeutic use)
  • Male
  • Michigan
  • Middle Aged
  • Multivariate Analysis
  • Myocardial Infarction (drug therapy, mortality)
  • Syndrome
  • Time Factors
  • Treatment Outcome

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