The effect of Ezetimibe and Simvastatin Combination Therapy on percutaneous coronary intervention patients

Int J Cardiol. 2017 Sep 1:242:1-3. doi: 10.1016/j.ijcard.2016.10.083. Epub 2016 Nov 3.

Abstract

Aims: Evaluating the short-term influence of Ezetimibe and Simvastatin Combination Therapy on LDL-C, TG and hs-CRP expression level in patients with percutaneous coronary intervention.

Methods: 57 cases of percutaneous coronary intervention patients were selected, and randomly divided into two groups: Simvastatin (40mg/day) and Ezetimibe (10mg/day) combination therapy group (observation group) with 28 patients, Simvastatin (40mg/day) group (control group) with 29 patients. Each group was treated for 10days. After treatment, compare blood lipid LDL-C, TG, hs-CRP levels with each other and the results before treatment.

Results: Comparison of the results of the 10th day with the baseline: LDL-C, TG decreased significantly (P<0.01) in the observation group, while the control group did not have a significantly change (P>0.05). Comparison of observation group and control group: after treatment, LDL-C and TG decreased more significantly in the observation group than the control group (-27.2% vs -14.6%, P<0.05). Whether according to LDL-C <2.07mmol/L standard or LDL-C <1.8mmol/L standard, the compliance rate of the observation group was significantly better than the control group, the results were (69% vs 28.9%, P<0.05) and (47.6% vs 13.2% P<0.05), respectively. After 10days treatment, comparing to baseline, hs-CRP was significantly lowered in these two groups (P<0.01). And there is no liver and kidney toxicity, myopathy and other adverse reactions during treatment.

Conclusions: Combination therapy of Ezetimibe (10mg/day) and Simvastatin (40mg/day) was more effective than mono-therapy with Simvastatin (40mg/day) on reducing LDL-C, TG and hs-CRP level in percutaneous coronary intervention patients, leading to more significant anti-inflammatory effect.

Keywords: Ezetimibe; LDL-C; PCI; Simvastatin; TG; hs-CRP.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acute Coronary Syndrome / diagnosis
  • Acute Coronary Syndrome / drug therapy*
  • Acute Coronary Syndrome / surgery
  • Adolescent
  • Adult
  • Aged
  • Angina, Unstable / diagnosis
  • Angina, Unstable / drug therapy*
  • Angina, Unstable / surgery
  • Anticholesteremic Agents / administration & dosage
  • Coronary Angiography
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery*
  • Dose-Response Relationship, Drug
  • Ezetimibe, Simvastatin Drug Combination / administration & dosage*
  • Female
  • Humans
  • Lipids / blood*
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / methods*
  • Postoperative Complications / prevention & control*
  • Stents*
  • Treatment Outcome
  • Young Adult

Substances

  • Anticholesteremic Agents
  • Ezetimibe, Simvastatin Drug Combination
  • Lipids