Long-term safety and efficacy of pitavastatin in patients with acute myocardial infarction (from the Livalo acute myocardial infarction study [LAMIS])

Soon Yong Suh, Seung Woon Rha, Tae Hoon Ahn, Eak Kyun Shin, Cheol Ung Choi, Dong Joo Oh, Jang Ho Bae, Seung Ho Hur, Kyung Ho Yoon, Seok Kyu Oh, Jong Hyun Kim, Sang Wook Kim, In Ho Chae, Kee Sik Kim, Young Joon Hong, Myung Ho Jeong

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6 Citations (Scopus)

Abstract

Pitavastatin is a potent lipophilic statin and may play an important role in acute myocardial infarction (AMI) but there have been limited data on the safety and efficacy of pitavastatin in AMI. This study consisted of 1,039 consecutive patients with AMI (74.0% men, mean age 61.4 ± 12.6 years) who presented in 10 major percutaneous coronary intervention centers in Korea from February 2007 through September 2009. Pitavastatin 2 mg/day was routinely administered in patients with AMI from time of presentation. We investigated changes of lipid profiles, biochemical markers, adverse events, and clinical outcomes up to 12 months. During the study 318 events overall occurred in 220 patients (21.2%) who reported <1 treatment emergent adverse event, although 20 events in 14 patients (1.4%) were treatment-related adverse events. Low-density lipoprotein (LDL) cholesterol percent change was -25.6% and LDL cholesterol target attainment was 70.5% at 12-month follow-up. Levels of creatinine phosphokinase, serum glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, and high-sensitivity C-reactive protein decreased significantly during the first 1 month of pitavastatin treatment and were sustained to 12-month follow-up. Major adverse cardiac events occurred in 66 patients (7.3%). All-cause deaths occurred in 32 patients (3.5%) including 19 (2.1%) cardiac deaths and recurrent MIs occurred in 14 (1.6%) and target lesion revascularizations in 42 (4.7%). In conclusion, administration of pitavastatin 2 mg/day in patients with AMI showed 70.5% LDL cholesterol target attainment with good tolerance and was associated with favorable clinical outcomes up to 12 months.

Original languageEnglish
Pages (from-to)1530-1535
Number of pages6
JournalAmerican Journal of Cardiology
Volume108
Issue number11
DOIs
Publication statusPublished - 2011 Dec 1

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Suh, S. Y., Rha, S. W., Ahn, T. H., Shin, E. K., Choi, C. U., Oh, D. J., Bae, J. H., Hur, S. H., Yoon, K. H., Oh, S. K., Kim, J. H., Kim, S. W., Chae, I. H., Kim, K. S., Hong, Y. J., & Jeong, M. H. (2011). Long-term safety and efficacy of pitavastatin in patients with acute myocardial infarction (from the Livalo acute myocardial infarction study [LAMIS]). American Journal of Cardiology, 108(11), 1530-1535. https://doi.org/10.1016/j.amjcard.2011.07.009