INTEGRATED ASSESSMENT OF STATIN-ASSOCIATED MUSCLE DAMAGE PREDICTORS IN PATIENTS WITH ISCHEMIC HEART DISEASE
<p>Aim. To assess the risk factors of statin-associated muscle damage in patient with ischemic heart disease.<br />Material and methods. 258 patients with ischemic heart disease treated with statin were included into the study. Total plasma creatine kinase levels were measured and SLCO1B...
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Format: | Article |
Language: | English |
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Столичная издательская компания
2015-09-01
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Series: | Рациональная фармакотерапия в кардиологии |
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Online Access: | http://www.rpcardio.ru/jour/article/view/33 |
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author | V. I. Petrov O. N. Smuseva Yu. V. Solovkina |
author_facet | V. I. Petrov O. N. Smuseva Yu. V. Solovkina |
author_sort | V. I. Petrov |
collection | DOAJ |
description | <p>Aim. To assess the risk factors of statin-associated muscle damage in patient with ischemic heart disease.<br />Material and methods. 258 patients with ischemic heart disease treated with statin were included into the study. Total plasma creatine kinase levels were measured and SLCO1B1*5 genotyping was performed. Relationship between statin therapy and adverse events was evaluated by Naranjo algorithm.<br />Results. Patients with muscle symptoms received statins significantly longer (48.8 vs 11.9 months, р<0.0001) and in higher doses, than patients without muscle pain/weakness. There were not significant differences in creatine kinase levels between patients with and without muscle symptoms. Patients with SLCO1B1*5 genotype were revealed in both groups, but more often (58%) among patients with muscle symptoms. Patients with abnormal C allele having muscle symptoms received statins significantly longer, than these without muscle signs (54.7 vs 13.9 months, р=0.0028).<br />Conclusion. Association between occurrence of muscle symptoms and SLCO1B1*5 allele carriership, statin dose and therapy duration was revealed. Creatine kinase examination was not valuable for finding of statin-induced muscle damage.</p> |
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id | doaj.art-fcf72c7041af4fd7aeb6dae0fdda48f4 |
institution | Directory Open Access Journal |
issn | 1819-6446 2225-3653 |
language | English |
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publishDate | 2015-09-01 |
publisher | Столичная издательская компания |
record_format | Article |
series | Рациональная фармакотерапия в кардиологии |
spelling | doaj.art-fcf72c7041af4fd7aeb6dae0fdda48f42023-09-03T02:03:11ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532015-09-019324725010.1234/1819-6446-2013-3-247-25033INTEGRATED ASSESSMENT OF STATIN-ASSOCIATED MUSCLE DAMAGE PREDICTORS IN PATIENTS WITH ISCHEMIC HEART DISEASEV. I. Petrov0O. N. Smuseva1Yu. V. Solovkina2Волгоградский государственный медицинский университет, ВолгоградВолгоградский государственный медицинский университет, ВолгоградВолгоградский государственный медицинский университет, Волгоград<p>Aim. To assess the risk factors of statin-associated muscle damage in patient with ischemic heart disease.<br />Material and methods. 258 patients with ischemic heart disease treated with statin were included into the study. Total plasma creatine kinase levels were measured and SLCO1B1*5 genotyping was performed. Relationship between statin therapy and adverse events was evaluated by Naranjo algorithm.<br />Results. Patients with muscle symptoms received statins significantly longer (48.8 vs 11.9 months, р<0.0001) and in higher doses, than patients without muscle pain/weakness. There were not significant differences in creatine kinase levels between patients with and without muscle symptoms. Patients with SLCO1B1*5 genotype were revealed in both groups, but more often (58%) among patients with muscle symptoms. Patients with abnormal C allele having muscle symptoms received statins significantly longer, than these without muscle signs (54.7 vs 13.9 months, р=0.0028).<br />Conclusion. Association between occurrence of muscle symptoms and SLCO1B1*5 allele carriership, statin dose and therapy duration was revealed. Creatine kinase examination was not valuable for finding of statin-induced muscle damage.</p>http://www.rpcardio.ru/jour/article/view/33статинынежелательная лекарственная реакциямиопатияSLCO1B1*5креатинкиназа |
spellingShingle | V. I. Petrov O. N. Smuseva Yu. V. Solovkina INTEGRATED ASSESSMENT OF STATIN-ASSOCIATED MUSCLE DAMAGE PREDICTORS IN PATIENTS WITH ISCHEMIC HEART DISEASE Рациональная фармакотерапия в кардиологии статины нежелательная лекарственная реакция миопатия SLCO1B1*5 креатинкиназа |
title | INTEGRATED ASSESSMENT OF STATIN-ASSOCIATED MUSCLE DAMAGE PREDICTORS IN PATIENTS WITH ISCHEMIC HEART DISEASE |
title_full | INTEGRATED ASSESSMENT OF STATIN-ASSOCIATED MUSCLE DAMAGE PREDICTORS IN PATIENTS WITH ISCHEMIC HEART DISEASE |
title_fullStr | INTEGRATED ASSESSMENT OF STATIN-ASSOCIATED MUSCLE DAMAGE PREDICTORS IN PATIENTS WITH ISCHEMIC HEART DISEASE |
title_full_unstemmed | INTEGRATED ASSESSMENT OF STATIN-ASSOCIATED MUSCLE DAMAGE PREDICTORS IN PATIENTS WITH ISCHEMIC HEART DISEASE |
title_short | INTEGRATED ASSESSMENT OF STATIN-ASSOCIATED MUSCLE DAMAGE PREDICTORS IN PATIENTS WITH ISCHEMIC HEART DISEASE |
title_sort | integrated assessment of statin associated muscle damage predictors in patients with ischemic heart disease |
topic | статины нежелательная лекарственная реакция миопатия SLCO1B1*5 креатинкиназа |
url | http://www.rpcardio.ru/jour/article/view/33 |
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