- 著者
-
Doyeon Hwang
Hyun Kuk Kim
Joo Myung Lee
Ki Hong Choi
Jihoon Kim
Tae-Min Rhee
Jonghanne Park
Taek Kyu Park
Jeong Hoon Yang
Young Bin Song
Jin-Ho Choi
Joo-Yong Hahn
Seung-Hyuk Choi
Bon-Kwon Koo
Young Jo Kim
Shung Chull Chae
Myeong Chan Cho
Chong Jin Kim
Hyeon-Cheol Gwon
Myung Ho Jeong
Hyo-Soo Kim
The KAMIR Investigators
- 出版者
- The Japanese Circulation Society
- 雑誌
- Circulation Journal (ISSN:13469843)
- 巻号頁・発行日
- pp.CJ-17-1221, (Released:2018-02-28)
- 参考文献数
- 31
- 被引用文献数
-
14
Background:There has been debate regarding the added benefit of high-intensity statins compared with low-moderate-intensity statins, especially in patients with acute myocardial infarction (AMI).Methods and Results:The Korea Acute Myocardial Infarction Registry-National Institutes of Health consecutively enrolled 13,104 AMI patients. Of these, a total of 12,182 patients, who completed 1-year follow-up, were included in this study, and all patients were classified into 3 groups (no statin; low-moderate-intensity statin; and high-intensity statin). The primary outcome was major adverse cardiac event (MACE) including cardiac death, non-fatal MI, and repeat revascularization at 1 year. Both low-moderate-intensity and high-intensity statin significantly reduced low-density lipoprotein cholesterol (LDL-C; all P<0.001). Compared with the no statin group, both statin groups had significantly lower risk of MACE (low-moderate intensity: HR, 0.506; 95% CI: 0.413–0.619, P<0.001; high intensity: HR, 0.464; 95% CI: 0.352–0.611, P<0.001). The risk of MACE, however, was similar between the low-moderate- and high-intensity statin groups (HR, 0.917; 95% CI: 0.760–1.107, P=0.368). Multivariable adjustment, propensity score matching, and inverse probability weighted analysis also produced the same results.Conclusions:When adequate LDL-C level is achieved, patients on a low-moderate-intensity statin dose have similar cardiovascular outcomes to those on high-intensity statins.