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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Main Authors: V. I. Petrov, O. N. Smuseva, Yu. V. Solovkina
Format: Article
Language:English
Published: Столичная издательская компания 2015-09-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
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&lt;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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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&lt;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
work_keys_str_mv AT vipetrov integratedassessmentofstatinassociatedmuscledamagepredictorsinpatientswithischemicheartdisease
AT onsmuseva integratedassessmentofstatinassociatedmuscledamagepredictorsinpatientswithischemicheartdisease
AT yuvsolovkina integratedassessmentofstatinassociatedmuscledamagepredictorsinpatientswithischemicheartdisease