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Rosuvastatin may stabilize atherosclerotic aortic plaque: transesophageal echocardiographic study in the EPISTEME trial.

Identifieur interne : 000008 ( PubMed/Corpus ); précédent : 000007; suivant : 000009

Rosuvastatin may stabilize atherosclerotic aortic plaque: transesophageal echocardiographic study in the EPISTEME trial.

Auteurs : Yuji Ueno ; Kazuo Yamashiro ; Yasutaka Tanaka ; Masao Watanabe ; Nobukazu Miyamoto ; Yoshiaki Shimada ; Takuma Kuroki ; Ryota Tanaka ; Katsumi Miyauchi ; Hiroyuki Daida ; Nobutaka Hattori ; Takao Urabe

Source :

RBID : pubmed:25702618

English descriptors

Abstract

Large atheromatous aortic plaques (AAPs) have been associated with ischemic stroke. There is little evidence to guide the therapeutic strategy for ischemic stroke associated with large AAPs. This study sought to analyze the temporal profile of AAPs after rosuvastatin therapy in Japanese patients with acute ischemic stroke.

DOI: 10.1016/j.atherosclerosis.2015.02.021
PubMed: 25702618

Links to Exploration step

pubmed:25702618

Le document en format XML

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<div type="abstract" xml:lang="en">Large atheromatous aortic plaques (AAPs) have been associated with ischemic stroke. There is little evidence to guide the therapeutic strategy for ischemic stroke associated with large AAPs. This study sought to analyze the temporal profile of AAPs after rosuvastatin therapy in Japanese patients with acute ischemic stroke.</div>
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<Title>Atherosclerosis</Title>
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<ArticleTitle>Rosuvastatin may stabilize atherosclerotic aortic plaque: transesophageal echocardiographic study in the EPISTEME trial.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Large atheromatous aortic plaques (AAPs) have been associated with ischemic stroke. There is little evidence to guide the therapeutic strategy for ischemic stroke associated with large AAPs. This study sought to analyze the temporal profile of AAPs after rosuvastatin therapy in Japanese patients with acute ischemic stroke.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The Efficacy of Post-stroke Intensive Rosuvastatin Treatment for aortogenic Embolic stroke (EPISTEME) trial was a prospective, randomized, open-label study. Acute ischemic stroke patients with dyslipidemia and AAPs ≥4-mm-thick on transesophageal echocardiography (TEE) were enrolled and randomly allocated to either the group treated with 5 mg/day rosuvastatin or the control group. The primary endpoint was the changes in volume and composition of AAPs on repeat TEE after 6 months. High-echoic plaque area was analyzed using binary images.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 24 Japanese patients (rosuvastatin 12; control 12) were included in the primary analysis. Rosuvastatin substantially reduced low-density lipoprotein cholesterol (LDL-C) compared to control (-42.1% vs. 1.4%, P < 0.001). Percent changes of high-echoic plaque areas were significantly increased in the rosuvastatin group, while they were decreased in the control group (65.8% vs -14.7%, P < 0.001). There was a significant linear correlation between percent increase in high-echoic plaque area and LDL-C decrease (r=-0.434, P=0.002).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Treatment with 5-mg rosuvastatin for 6 months might induce atheromatous aortic plaque stabilization together with marked LDL-C reduction in Japanese patients with ischemic stroke, which could provide evidence on which to base the therapeutic strategy for aortogenic brain embolism.</AbstractText>
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<Keyword MajorTopicYN="N">Stroke</Keyword>
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<Day>25</Day>
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<ArticleId IdType="pii">S0021-9150(15)00111-2</ArticleId>
<ArticleId IdType="doi">10.1016/j.atherosclerosis.2015.02.021</ArticleId>
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